HRHospitalRates.comCompare prices

Procedure price report · Laboratory - Chemistry and Hematology

Urine test for VMA, an adrenaline breakdown product

CPT 84585the billing code this page is about

Measures vanillylmandelic acid in urine, a substance left over when the body breaks down adrenaline-type hormones. Covers one measurement.

Hospitals typically charge $68 cash for this outpatient procedure — the median across 2,871 hospitals that filed a usable cash price; the average of the middle 60% is $72. Most fall between $25 and $142 (20th–80th percentile).

Hospitals
2,871
States
50
Filings dated
Aug 2022 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 2,871 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$17$32$68$123$206

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($17 vs $206).

How the prices are spread

$11 – $15: 106 hospitals$11$15 – $21: 213 hospitals$21 – $29: 212 hospitals$21$29 – $41: 233 hospitals$41 – $57: 373 hospitals$41$57 – $79: 347 hospitals$79 – $110: 369 hospitals$79$110 – $152: 372 hospitals$152 – $212: 263 hospitals$152$212 – $295: 99 hospitals$212median $68price bands are equal on a log scale
Hospitals per price band (2,587 of 2,871 — the bands cover the 5th to 95th percentile)
FromToHospitals
$11$15106
$15$21213
$21$29212
$29$41233
$41$57373
$57$79347
$79$110369
$110$152372
$152$212263
$212$29599

By state

The median cash price in each state, against the national median of $68.

Alaska: median $75 across 15 hospitalsAK$75Maine: median $54 across 26 hospitalsME$54Vermont: median $107 across 11 hospitalsVT$107New Hampshire: median $82 across 20 hospitalsNH$82Washington: median $81 across 61 hospitalsWA$81Idaho: median $65 across 20 hospitalsID$65Montana: median $94 across 16 hospitalsMT$94North Dakota: median $74 across 22 hospitalsND$74Minnesota: median $49 across 82 hospitalsMN$49Illinois: median $96 across 133 hospitalsIL$96Wisconsin: median $98 across 93 hospitalsWI$98Michigan: median $39 across 81 hospitalsMI$39New York: median $44 across 97 hospitalsNY$44Massachusetts: median $86 across 45 hospitalsMA$86Oregon: median $55 across 35 hospitalsOR$55Nevada: median $93 across 19 hospitalsNV$93Wyoming: median $55 across 16 hospitalsWY$55South Dakota: median $75 across 20 hospitalsSD$75Iowa: median $71 across 60 hospitalsIA$71Indiana: median $77 across 91 hospitalsIN$77Ohio: median $68 across 136 hospitalsOH$68Pennsylvania: median $79 across 117 hospitalsPA$79New Jersey: median $18 across 49 hospitalsNJ$18Connecticut: median $50 across 15 hospitalsCT$50Rhode Island: 9 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $15 across 110 hospitalsCA$15Utah: median $78 across 35 hospitalsUT$78Colorado: median $92 across 57 hospitalsCO$92Nebraska: median $134 across 53 hospitalsNE$134Missouri: median $75 across 71 hospitalsMO$75Kentucky: median $85 across 67 hospitalsKY$85West Virginia: median $57 across 39 hospitalsWV$57Virginia: median $62 across 66 hospitalsVA$62Maryland: median $79 across 38 hospitalsMD$79Delaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $111 across 38 hospitalsAZ$111New Mexico: median $103 across 19 hospitalsNM$103Kansas: median $81 across 68 hospitalsKS$81Arkansas: median $64 across 31 hospitalsAR$64Tennessee: median $38 across 75 hospitalsTN$38North Carolina: median $42 across 84 hospitalsNC$42South Carolina: median $123 across 50 hospitalsSC$123Oklahoma: median $50 across 66 hospitalsOK$50Louisiana: median $48 across 48 hospitalsLA$48Mississippi: median $61 across 47 hospitalsMS$61Alabama: median $65 across 40 hospitalsAL$65Georgia: median $52 across 98 hospitalsGA$52Hawaii: median $77 across 13 hospitalsHI$77Texas: median $85 across 220 hospitalsTX$85Florida: median $22 across 143 hospitalsFL$22
Cash price by state, most expensive first. National median $68. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Nebraska NE53$134+97%$52 – $189
South Carolina SC50$123+81%$60 – $141
Arizona AZ38$111+63%$33 – $173
Vermont VT11$107+57%$75 – $201
New Mexico NM19$103+51%$50 – $180
Wisconsin WI93$98+43%$55 – $120
Illinois IL133$96+41%$54 – $194
Montana MT16$94+38%$41 – $126
Nevada NV19$93+37%$40 – $161
Colorado CO57$92+35%$39 – $161
Massachusetts MA45$86+26%$50 – $143
Texas TX220$85+25%$23 – $266
Kentucky KY67$85+24%$47 – $204
New Hampshire NH20$82+21%$19 – $270
Kansas KS68$81+19%$56 – $120
Washington WA61$81+19%$40 – $133
Maryland MD38$79+17%$60 – $96
Pennsylvania PA117$79+16%$23 – $208
Utah UT35$78+14%$66 – $142
Indiana IN91$77+14%$28 – $209
Hawaii HI13$77+13%$38 – $155
Alaska AK15$75+10%$20 – $159
Missouri MO71$75+10%$38 – $144
South Dakota SD20$75+10%$47 – $169
North Dakota ND22$74+9%$27 – $126
Iowa IA60$71+4%$53 – $112
Ohio OH136$68+1%$40 – $131
Idaho ID20$65−4%$22 – $104
Alabama AL40$65−4%$19 – $120
Arkansas AR31$64−6%$21 – $110
Virginia VA66$62−9%$27 – $143
Mississippi MS47$61−10%$30 – $87
West Virginia WV39$57−16%$5 – $114
Oregon OR35$55−19%$19 – $96
Wyoming WY16$55−20%$47 – $142
Maine ME26$54−21%$35 – $103
Georgia GA98$52−23%$41 – $148
Connecticut CT15$50−27%$40 – $73
Oklahoma OK66$50−27%$34 – $105
Minnesota MN82$49−28%$21 – $123
Louisiana LA48$48−29%$25 – $102
New York NY97$44−35%$19 – $104
North Carolina NC84$42−38%$18 – $142
Michigan MI81$39−42%$12 – $63
Tennessee TN75$38−44%$23 – $128
Florida FL143$22−68%$8 – $81
New Jersey NJ49$18−74%$16 – $97
California CA110$15−78%$8 – $44
Rhode Island RI9not enough hospitals filed a usable price
Delaware DE6not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $68.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care2,089$62$22 – $141
Children’s51$72$25 – $167
Critical access722$82$41 – $146
Ownership
For-profit406$84$22 – $316
Government512$72$31 – $136
Non-profit1,944$65$24 – $130
System affiliation
Part of a system2,353$66$23 – $143
Independent518$76$34 – $140

Cash price vs list price

Median list price (chargemaster)$111
Median cash price$68
Cash as a share of list, median hospital64%

At the typical hospital, asking for the cash price cuts the list price by about 36%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

1,983 hospitals filed a usable inpatient cash price for this code. The median is $68 and the average of the middle 60% is $72; most fall between $26 and $134.

Cash price percentiles, inpatient, across 1,983 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$18$34$68$122$194

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($18 vs $194).

Of the 2,197 hospitals that filed this code inpatient, 1,983 gave a usable cash price; 110 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 104 a list price only.

How complete is this

2,871 of the 3,956 hospitals with a price file in our corpus (73%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 3,146 hospitals that filed this code at all gave us
Usable cash price — counted2,871
Cash price carrying a plausibility flag — shown on the compare tool, excluded here154
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded120
Hospitals that filed this code3,146

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between July 20, 2026 and September 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Laboratory - Chemistry and Hematology family.

Hospitals file this code under descriptions such as HC Vma-Urine.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Urine test for VMA, an adrenaline breakdown product (CPT 84585) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-84585-urine-test-for-vma-an-adrenaline-breakdown-product