Urea nitrogen level to assess kidney function, urine
Medicare pricing data for 195 providers across 28 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Urea nitrogen level to assess kidney function, urine (HCPCS code 84540) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $5.44, but hospitals typically charge $23.32 — a 4.3x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $5.44, your out-of-pocket cost would be approximately $1.09. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 4.3x more than what Medicare allows for this procedure. Medicare actually pays $5.44 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $5 | $61 | 3 | 42 | +0.2% |
| Hawaii | $5 | $16 | 2 | 23 | +0.2% |
| Illinois | $5 | $21 | 8 | 52,185 | +0.2% |
| Iowa | $5 | $23 | 3 | 15 | +0.2% |
| Kansas | $5 | $55 | 3 | 72 | +0.2% |
| Maryland | $5 | $43 | 5 | 34 | +0.2% |
| Massachusetts | $5 | $62 | 2 | 70 | +0.2% |
| Michigan | $5 | $21 | 6 | 13 | +0.2% |
| Minnesota | $5 | $41 | 6 | 945 | +0.2% |
| New Jersey | $5 | $49 | 8 | 732 | +0.2% |
| New York | $5 | $57 | 13 | 146 | +0.2% |
| North Carolina | $5 | $41 | 3 | 200 | +0.2% |
| Ohio | $5 | $25 | 10 | 145 | +0.2% |
| Oklahoma | $5 | $35 | 2 | 24 | +0.2% |
| Oregon | $5 | $23 | 3 | 14 | +0.2% |
| Pennsylvania | $5 | $70 | 3 | 77 | +0.2% |
| Tennessee | $5 | $31 | 2 | 11 | +0.2% |
| Washington | $5 | $48 | 3 | 44 | +0.2% |
| Puerto Rico | $5 | $6 | 10 | 18 | +0.2% |
| Arizona | $5 | $44 | 4 | 199 | +0.2% |
| Colorado | $5 | $44 | 2 | 22 | +0.2% |
| Texas | $5 | $38 | 12 | 753 | 0.0% |
| Alabama | $5 | $44 | 4 | 199 | -0.2% |
| Wisconsin | $5 | $43 | 5 | 73 | -1.1% |
| Virginia | $5 | $21 | 7 | 69 | -2.2% |
| California | $5 | $45 | 26 | 930 | -2.9% |
| Florida | $5 | $62 | 13 | 1,068 | -4.6% |
| North Dakota | $5 | $26 | 3 | 16 | -4.6% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber