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Hippurate/Creatinine [Mass Ratio], Urine

Published: August 9, 2026Updated: August 17, 2026

A urine test that compares hippurate with creatinine, helping account for differences in urine concentration.

Quick summary

["The ratio can help evaluate hippurate excretion when urine concentration or exposure history may affect the result."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
110525-3
Short code
Hippurate/Creat Msmt Ur
Synonyms
Hippurate/Creat Msmt Ur
Category
kidney
Sample
urine
Container
Sterile urine container
Units
N/A
Ref low
3.5
Ref high
7.2
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Specimen volume
10 mL
Stability
Room temperature: 2h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

What is this test?

This test measures hippurate, a substance formed when the body combines glycine with benzoic acid, and creatinine, a waste product used as a marker of urine concentration. The results are expressed as a hippurate-to-creatinine ratio.

Why might I need this test?

The test may be used to evaluate hippurate excretion in people being assessed for exposure to certain chemicals, such as toluene or xylene, or as part of an evaluation of unusual urine metabolites. It may also be included in broader metabolic testing.

How is the test performed?

A urine sample is analyzed in the laboratory for hippurate and creatinine. The laboratory compares the amounts of the two substances to calculate a ratio, which can help reduce the effect of variations in urine concentration.

How do I prepare for the test?

Follow any instructions provided by your healthcare professional. These may include collecting urine in a clean-catch container at a specific time or avoiding certain medications or chemical exposures. Tell the care team about occupational or household chemical exposure and provide complete collection instructions with the sample.

Reference range

NCBI: Uric Acid Male 3.5-7.2 mg/dL; Female 2.5-6.8 mg/dLN/A

Specimen: urine

No special preparation usually required. Stay well hydrated. Inform your healthcare provider of all medications and supplements you are taking.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Urinary hippurate-to-creatinine ratio

Frequently asked questions

What does hippurate measure?
Hippurate is a compound formed in the liver when glycine is joined to benzoic acid. It is eliminated in urine and can increase with certain chemical exposures.
Why is creatinine included in the test?
Creatinine is used to help account for how concentrated or dilute the urine is. Comparing hippurate with creatinine makes the result more useful than measuring hippurate alone.
Does an abnormal result confirm chemical poisoning?
No. An abnormal result can suggest increased hippurate excretion but does not identify the cause by itself. Your healthcare professional will consider exposure history, symptoms, medications, and other test results.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 17, 2026. · Read our editorial policy