51701

Insertion of temporary bladder tube

Medicare pricing data for 11,302 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $23 in Vermont to $51 in New York. 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

Insertion of temporary bladder tube (HCPCS code 51701) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $41.84, but hospitals typically charge $173.55 — a 4.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$8.37

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $41.84, your out-of-pocket cost would be approximately $8.37. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$41.84
Average Hospital Charge
$173.55
Markup Ratio
4.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$173.55
Medicare Allowed$41.84
Medicare Payment$31.46

Hospitals charge 4.1x more than what Medicare allows for this procedure. Medicare actually pays $31.46 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$51$25373011,457+21.8%
Alaska$50$3733288+20.6%
New Jersey$48$2123627,323+15.2%
District of Columbia$47$18146735+12.5%
California$46$18697513,973+9.7%
Maryland$46$1441973,302+8.9%
Connecticut$45$1981351,717+8.6%
Florida$44$15874715,319+4.0%
Hawaii$43$11625263+3.5%
Wyoming$43$1732163+1.7%
Texas$42$1496238,302+0.5%
Rhode Island$42$14940261-0.2%
Colorado$41$138144994-1.2%
Illinois$41$2424447,615-1.9%
Washington$41$1462562,047-2.7%
Oregon$41$1511661,243-3.1%
Massachusetts$40$2183132,981-3.4%
North Carolina$40$1614243,500-3.9%
Arizona$40$1302083,096-4.3%
Oklahoma$40$1191453,973-4.3%
Georgia$40$1492612,237-4.8%
Utah$40$14477493-5.0%
Pennsylvania$40$1575974,632-5.0%
Ohio$40$1313945,071-5.6%
Virginia$39$1363514,055-6.3%
Kansas$39$141941,359-6.6%
New Hampshire$39$16681695-6.7%
Minnesota$39$2032301,801-6.9%
Nevada$39$15474173-7.4%
South Carolina$39$1642202,542-7.6%
Nebraska$38$1991091,898-8.7%
Tennessee$38$1452752,530-9.1%
Indiana$38$1702863,066-9.8%
Delaware$38$12641233-9.8%
Michigan$37$1133141,879-12.2%
Missouri$37$1362114,083-12.3%
Kentucky$36$1351401,651-13.6%
Louisiana$36$1501992,508-13.6%
Mississippi$36$147104685-14.4%
Alabama$35$1241711,840-16.6%
Arkansas$34$1191042,845-18.1%
New Mexico$34$10266167-19.8%
West Virginia$33$12155334-20.8%
Wisconsin$33$3902601,651-21.8%
Puerto Rico$32$552070-22.7%
Iowa$31$219171665-25.0%
Idaho$30$8769281-27.2%
Maine$30$8250249-29.5%
Montana$29$6883457-29.9%
South Dakota$28$12570226-32.2%
North Dakota$26$13250181-37.1%
Vermont$23$1391434-44.3%

⚠️ 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