Cell examination of urine, manual
Medicare pricing data for 577 providers across 31 states
Prices vary significantly by location — from $56 in Wisconsin to $597 in District of Columbia. Where you get this procedure matters more than almost any other factor. 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
Cell examination of urine, manual (HCPCS code 88120) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $463.80, but hospitals typically charge $1,260 — a 2.7x 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 $463.80, your out-of-pocket cost would be approximately $92.76. 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 2.7x more than what Medicare allows for this procedure. Medicare actually pays $367.73 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $597 | $1,381 | 5 | 933 | +28.8% |
| Nevada | $594 | $1,032 | 1 | 48 | +28.2% |
| Maryland | $567 | $1,846 | 18 | 1,433 | +22.2% |
| New York | $559 | $2,000 | 47 | 9,343 | +20.6% |
| Illinois | $540 | $1,079 | 27 | 1,915 | +16.4% |
| Michigan | $532 | $1,559 | 8 | 239 | +14.6% |
| Tennessee | $527 | $896 | 17 | 2,467 | +13.7% |
| Texas | $519 | $1,072 | 42 | 4,374 | +11.9% |
| California | $498 | $1,472 | 46 | 5,347 | +7.3% |
| Utah | $488 | $1,468 | 1 | 17 | +5.1% |
| Connecticut | $471 | $774 | 12 | 2,316 | +1.6% |
| Missouri | $454 | $1,001 | 9 | 406 | -2.1% |
| Florida | $444 | $1,008 | 31 | 3,777 | -4.3% |
| Virginia | $443 | $1,247 | 10 | 891 | -4.5% |
| New Jersey | $443 | $1,131 | 33 | 14,254 | -4.6% |
| Oklahoma | $437 | $798 | 2 | 1,942 | -5.7% |
| Massachusetts | $409 | $1,000 | 49 | 5,111 | -11.8% |
| Arizona | $384 | $860 | 24 | 1,988 | -17.2% |
| Minnesota | $319 | $1,062 | 48 | 274 | -31.2% |
| Kansas | $281 | $610 | 1 | 117 | -39.4% |
| South Carolina | $251 | $430 | 2 | 72 | -45.8% |
| Pennsylvania | $204 | $1,726 | 25 | 2,236 | -56.1% |
| Louisiana | $200 | $759 | 10 | 83 | -56.8% |
| Ohio | $126 | $700 | 29 | 469 | -72.8% |
| Delaware | $102 | $771 | 7 | 166 | -78.0% |
| Colorado | $70 | $174 | 3 | 88 | -85.0% |
| North Carolina | $70 | $204 | 11 | 69 | -85.0% |
| Rhode Island | $59 | $135 | 2 | 34 | -87.4% |
| Washington | $57 | $80 | 14 | 35 | -87.7% |
| Iowa | $56 | $228 | 3 | 23 | -87.8% |
| Wisconsin | $56 | $182 | 2 | 56 | -88.0% |
⚠️ 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