Urobilinogen (metabolism substance) level, urine
Medicare pricing data for 20 providers across 6 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
Urobilinogen (metabolism substance) level, urine (HCPCS code 84580) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $9.33, but hospitals typically charge $18.34 — a 2.0x 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 $9.33, your out-of-pocket cost would be approximately $1.87. 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 2.0x more than what Medicare allows for this procedure. Medicare actually pays $9.33 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Maine | $9 | $15 | 5 | 781 | +0.3% |
| Massachusetts | $9 | $15 | 2 | 202 | +0.3% |
| Missouri | $9 | $22 | 4 | 4,584 | +0.3% |
| Ohio | $9 | $19 | 1 | 508 | +0.3% |
| Kansas | $9 | $22 | 1 | 1,708 | +0.2% |
| Alabama | $9 | $10 | 6 | 2,296 | -0.8% |
⚠️ 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