Complicated insertion of bladder tube
Medicare pricing data for 10,042 providers across 52 states
Prices vary significantly by location — from $68 in North Dakota to $155 in Alaska. 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
Complicated insertion of bladder tube (HCPCS code 51703) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $121.63, but hospitals typically charge $397.41 — a 3.3x 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 $121.63, your out-of-pocket cost would be approximately $24.33. 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 3.3x more than what Medicare allows for this procedure. Medicare actually pays $93.54 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $155 | $604 | 26 | 197 | +27.4% |
| Puerto Rico | $150 | $184 | 9 | 14 | +23.1% |
| Hawaii | $141 | $380 | 25 | 224 | +16.0% |
| California | $140 | $420 | 860 | 5,872 | +14.8% |
| New York | $134 | $503 | 793 | 5,226 | +10.4% |
| Massachusetts | $134 | $405 | 284 | 1,901 | +10.3% |
| Connecticut | $133 | $531 | 167 | 761 | +9.4% |
| Rhode Island | $133 | $340 | 49 | 255 | +9.1% |
| Maryland | $130 | $290 | 247 | 1,939 | +7.0% |
| Delaware | $129 | $303 | 38 | 284 | +6.1% |
| New Jersey | $128 | $526 | 448 | 3,314 | +5.5% |
| District of Columbia | $128 | $369 | 32 | 154 | +5.2% |
| Florida | $127 | $328 | 762 | 5,323 | +4.7% |
| Utah | $121 | $285 | 74 | 251 | -0.7% |
| Illinois | $120 | $535 | 381 | 1,561 | -1.0% |
| New Hampshire | $120 | $326 | 76 | 569 | -1.7% |
| Arizona | $118 | $322 | 235 | 1,071 | -3.0% |
| New Mexico | $117 | $433 | 31 | 153 | -3.9% |
| Colorado | $116 | $384 | 175 | 643 | -4.3% |
| Pennsylvania | $116 | $302 | 466 | 1,582 | -4.5% |
| Kentucky | $113 | $366 | 81 | 374 | -7.5% |
| Texas | $112 | $329 | 606 | 2,581 | -7.6% |
| Alabama | $112 | $224 | 142 | 558 | -7.6% |
| Ohio | $112 | $361 | 359 | 1,683 | -7.9% |
| Virginia | $112 | $347 | 236 | 813 | -8.3% |
| Oklahoma | $111 | $307 | 105 | 427 | -9.1% |
| Missouri | $110 | $496 | 215 | 738 | -9.3% |
| Mississippi | $110 | $331 | 74 | 285 | -9.9% |
| Georgia | $110 | $387 | 303 | 1,335 | -10.0% |
| Nevada | $108 | $366 | 77 | 311 | -10.9% |
| North Carolina | $108 | $373 | 386 | 1,561 | -10.9% |
| Maine | $108 | $330 | 38 | 153 | -11.1% |
| Washington | $106 | $313 | 202 | 689 | -12.8% |
| Tennessee | $106 | $327 | 198 | 694 | -13.2% |
| Oregon | $105 | $390 | 112 | 254 | -13.7% |
| South Carolina | $104 | $341 | 174 | 589 | -14.1% |
| Indiana | $104 | $364 | 247 | 923 | -14.3% |
| Wisconsin | $104 | $899 | 177 | 587 | -14.5% |
| Louisiana | $101 | $331 | 128 | 437 | -16.8% |
| Wyoming | $101 | $338 | 14 | 40 | -16.9% |
| Michigan | $100 | $290 | 316 | 903 | -18.1% |
| Arkansas | $94 | $295 | 63 | 270 | -22.4% |
| Iowa | $94 | $393 | 117 | 464 | -22.6% |
| Idaho | $94 | $237 | 42 | 176 | -23.0% |
| Minnesota | $90 | $531 | 132 | 263 | -26.3% |
| Nebraska | $86 | $354 | 62 | 215 | -29.5% |
| Vermont | $85 | $393 | 25 | 87 | -29.9% |
| Montana | $84 | $266 | 44 | 98 | -30.7% |
| Kansas | $83 | $293 | 75 | 193 | -31.9% |
| South Dakota | $80 | $484 | 45 | 106 | -34.0% |
| West Virginia | $78 | $289 | 48 | 125 | -35.9% |
| North Dakota | $68 | $841 | 9 | 41 | -44.0% |
⚠️ 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