51705

Simple change of bladder tube

Medicare pricing data for 17,848 providers across 51 states

🤖AI Overview

Prices vary significantly by location — from $43 in Vermont to $97 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

Simple change of bladder tube (HCPCS code 51705) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $83.75, but hospitals typically charge $309.12 — a 3.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$16.75

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $83.75, your out-of-pocket cost would be approximately $16.75. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$83.75
Average Hospital Charge
$309.12
Markup Ratio
3.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$309.12
Medicare Allowed$83.75
Medicare Payment$62.75

Hospitals charge 3.7x more than what Medicare allows for this procedure. Medicare actually pays $62.75 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$97$88854674+16.3%
New Jersey$96$3915314,848+14.9%
California$96$3491,45313,284+14.6%
Connecticut$91$3762671,843+8.5%
Maryland$91$2454285,003+8.4%
Virginia$89$2613983,702+6.6%
Colorado$89$3203102,986+6.3%
New York$88$3871,29710,620+5.6%
Wyoming$88$18225422+5.3%
District of Columbia$88$25463891+4.5%
Massachusetts$87$3135574,811+4.1%
Oregon$87$2972262,533+3.7%
Florida$87$2841,28710,222+3.5%
Illinois$86$4887466,738+2.5%
Washington$85$2583844,438+1.5%
Georgia$85$2694503,684+1.4%
Nevada$85$291125947+1.2%
Arizona$85$2744203,817+0.9%
Rhode Island$84$25081645+0.8%
Delaware$84$229106713+0.2%
Oklahoma$84$2251982,474+0.1%
Texas$83$2671,1238,641-0.5%
Hawaii$83$22741365-0.8%
Pennsylvania$81$2439887,486-2.8%
Utah$81$2151051,324-2.8%
Missouri$80$2653474,054-4.0%
New Hampshire$80$26193520-4.3%
Indiana$80$2744333,856-4.7%
Michigan$79$2295403,517-5.6%
North Carolina$79$3236365,624-6.1%
Tennessee$78$2763222,260-6.7%
Minnesota$78$3803932,232-7.2%
Nebraska$78$2851191,363-7.3%
Alabama$78$1621661,349-7.4%
South Dakota$77$35574926-7.7%
South Carolina$77$2943133,732-8.3%
Ohio$76$2427475,673-8.9%
Kansas$76$2411732,493-9.5%
Mississippi$75$2441341,254-10.4%
Louisiana$75$3832061,768-10.5%
New Mexico$75$223631,044-10.6%
Kentucky$73$2301731,220-12.9%
Arkansas$71$2521681,649-14.7%
Idaho$71$18078962-15.5%
Wisconsin$71$6354543,037-15.7%
Montana$69$21677966-17.9%
Iowa$69$2902051,953-17.9%
Maine$59$20667523-30.1%
West Virginia$57$21083655-32.1%
North Dakota$51$44469565-38.5%
Vermont$43$3313060-48.6%

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

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💊 Need post-procedure medications? Check costs on OpenPrescriber