Cell examination of urine, computer-assisted
Medicare pricing data for 323 providers across 22 states
Prices vary significantly by location — from $45 in Georgia to $488 in Maryland. 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, computer-assisted (HCPCS code 88121) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $377.86, but hospitals typically charge $1,061 — a 2.8x 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 $377.86, your out-of-pocket cost would be approximately $75.57. 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 2.8x more than what Medicare allows for this procedure. Medicare actually pays $299.72 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Maryland | $488 | $1,956 | 10 | 1,839 | +29.1% |
| Pennsylvania | $444 | $1,024 | 10 | 2,972 | +17.4% |
| Virginia | $437 | $1,047 | 10 | 2,774 | +15.6% |
| Nevada | $418 | $871 | 1 | 47 | +10.5% |
| Michigan | $407 | $1,302 | 9 | 1,966 | +7.6% |
| Texas | $385 | $1,112 | 14 | 224 | +1.9% |
| California | $369 | $1,148 | 36 | 1,270 | -2.5% |
| New Jersey | $365 | $1,109 | 18 | 2,248 | -3.3% |
| Tennessee | $360 | $959 | 19 | 1,366 | -4.7% |
| Utah | $360 | $1,096 | 4 | 39 | -4.8% |
| Arkansas | $354 | $1,082 | 2 | 377 | -6.4% |
| Ohio | $345 | $561 | 6 | 916 | -8.8% |
| Indiana | $343 | $918 | 17 | 464 | -9.4% |
| Florida | $341 | $758 | 36 | 1,244 | -9.8% |
| Illinois | $333 | $1,305 | 8 | 901 | -11.8% |
| New York | $320 | $792 | 24 | 2,357 | -15.2% |
| Washington | $233 | $580 | 25 | 207 | -38.4% |
| Connecticut | $52 | $299 | 3 | 44 | -86.3% |
| Massachusetts | $50 | $211 | 14 | 100 | -86.8% |
| Arizona | $46 | $271 | 2 | 40 | -87.8% |
| Louisiana | $45 | $99 | 2 | 46 | -88.0% |
| Georgia | $45 | $169 | 9 | 438 | -88.2% |
⚠️ 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