Urine vanillylmandelic acid
Medicare pricing data for 126 providers across 25 states
This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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
Urine vanillylmandelic acid (HCPCS code 84585) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $15.18, but hospitals typically charge $66.54 — a 4.4x 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 $15.18, your out-of-pocket cost would be approximately $3.04. 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 4.4x more than what Medicare allows for this procedure. Medicare actually pays $15.18 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $15 | $128 | 4 | 314 | +0.1% |
| Georgia | $15 | $131 | 1 | 128 | +0.1% |
| Illinois | $15 | $131 | 3 | 44 | +0.1% |
| Iowa | $15 | $76 | 4 | 19 | +0.1% |
| Kansas | $15 | $130 | 5 | 64 | +0.1% |
| Kentucky | $15 | $16 | 2 | 696 | +0.1% |
| Maryland | $15 | $124 | 3 | 31 | +0.1% |
| Massachusetts | $15 | $133 | 4 | 112 | +0.1% |
| Minnesota | $15 | $110 | 5 | 14 | +0.1% |
| Nevada | $15 | $128 | 1 | 26 | +0.1% |
| Ohio | $15 | $77 | 7 | 53 | +0.1% |
| Oklahoma | $15 | $139 | 3 | 26 | +0.1% |
| Oregon | $15 | $21 | 3 | 80 | +0.1% |
| Pennsylvania | $15 | $125 | 4 | 34 | +0.1% |
| Tennessee | $15 | $73 | 1 | 41 | +0.1% |
| Texas | $15 | $116 | 6 | 221 | +0.1% |
| Utah | $15 | $32 | 2 | 21 | +0.1% |
| Virginia | $15 | $30 | 4 | 31 | +0.1% |
| Washington | $15 | $112 | 3 | 19 | +0.1% |
| Arizona | $15 | $116 | 3 | 121 | +0.1% |
| North Carolina | $15 | $56 | 5 | 6,209 | 0.0% |
| New York | $15 | $119 | 9 | 98 | -0.1% |
| New Jersey | $15 | $122 | 5 | 262 | -0.2% |
| California | $15 | $126 | 12 | 319 | -0.5% |
| Alabama | $15 | $74 | 4 | 40 | -1.6% |
⚠️ 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