51600

Injection procedure for imaging of bladder during voiding

Medicare pricing data for 6,090 providers across 49 states

🤖AI Overview

This procedure has a 7.3x markup — hospitals charge $558.07 but Medicare allows only $76.04. Uninsured patients may face bills 7.3 times higher than what insurance negotiates. Prices vary significantly by location — from $24 in Delaware to $157 in South Dakota. 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

Injection procedure for imaging of bladder during voiding (HCPCS code 51600) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $76.04, but hospitals typically charge $558.07 — a 7.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$15.21

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $76.04, your out-of-pocket cost would be approximately $15.21. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$76.04
Average Hospital Charge
$558.07
Markup Ratio
7.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$558.07
Medicare Allowed$76.04
Medicare Payment$59.73

Hospitals charge 7.3x more than what Medicare allows for this procedure. Medicare actually pays $59.73 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
South Dakota$157$4713588+106.1%
Nebraska$145$52762159+91.0%
Tennessee$110$520123290+45.1%
Arizona$110$583145407+44.5%
District of Columbia$108$6691672+41.5%
Mississippi$106$80958440+39.6%
Minnesota$105$749190436+38.6%
New York$101$1,2073361,425+33.3%
Florida$101$5033331,253+32.3%
New Jersey$99$699160629+30.5%
Nevada$97$4523847+28.0%
Kansas$96$30056188+25.8%
Georgia$87$463138315+13.9%
California$85$5945502,111+12.3%
Oklahoma$83$31984224+8.8%
Texas$79$5144162,060+4.0%
Virginia$77$436198776+0.7%
Louisiana$74$424101280-3.3%
North Carolina$73$614214648-3.9%
Missouri$71$520146369-6.5%
Colorado$66$429110189-13.5%
Arkansas$65$23056126-14.5%
Connecticut$63$70077159-16.9%
Iowa$61$85080282-19.2%
Kentucky$61$59567220-19.8%
Oregon$61$47278201-19.9%
Illinois$59$539298656-22.9%
South Carolina$56$44093376-26.5%
Wisconsin$51$809130187-32.5%
Alaska$51$3181013-32.8%
Alabama$50$475118335-34.5%
Indiana$49$432124254-35.2%
Pennsylvania$49$3053481,107-35.6%
Washington$49$443125430-35.7%
Utah$48$3333580-36.3%
Michigan$48$238178343-36.8%
Ohio$45$343219537-41.4%
Maryland$43$41085241-43.6%
Maine$42$1541826-44.5%
Idaho$39$1982337-48.3%
New Mexico$39$3443871-48.9%
Rhode Island$38$3681837-49.5%
Hawaii$38$4141116-49.6%
Montana$38$1763970-49.6%
North Dakota$37$5171925-51.2%
Massachusetts$37$458167593-52.0%
New Hampshire$30$41749170-60.0%
West Virginia$24$13518100-67.8%
Delaware$24$468968-68.6%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber