51710

Complicated change of bladder tube

Medicare pricing data for 3,433 providers across 49 states

🤖AI Overview

Prices vary significantly by location — from $59 in Delaware to $147 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 change of bladder tube (HCPCS code 51710) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $123.74, but hospitals typically charge $455.04 — a 3.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$24.75

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $123.74, your out-of-pocket cost would be approximately $24.75. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$123.74
Average Hospital Charge
$455.04
Markup Ratio
3.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$455.04
Medicare Allowed$123.74
Medicare Payment$94.69

Hospitals charge 3.7x more than what Medicare allows for this procedure. Medicare actually pays $94.69 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$147$506759+18.9%
District of Columbia$142$469614+14.6%
California$140$3563352,630+13.2%
Hawaii$137$37014186+10.4%
Maryland$136$67488365+10.1%
New Jersey$136$8241981,480+9.8%
Nevada$133$4251245+7.8%
Virginia$131$38769253+6.1%
New Mexico$131$366523+5.5%
Florida$130$3662571,495+4.7%
Connecticut$130$40848383+4.7%
New York$128$5322781,334+3.7%
Arizona$126$31365414+1.4%
Mississippi$123$43820106-0.6%
Michigan$123$38197341-0.9%
Pennsylvania$123$394155471-0.9%
Massachusetts$121$440119469-2.3%
Colorado$118$6403366-5.0%
Tennessee$117$49447219-5.6%
Texas$117$362196905-5.8%
Ohio$114$384134465-8.0%
Nebraska$113$26618123-8.5%
Illinois$111$707118336-10.2%
South Carolina$111$43485207-10.3%
Missouri$111$36077214-10.7%
Alabama$108$2443586-12.6%
Oklahoma$108$27947107-12.6%
Georgia$106$44187161-14.7%
North Carolina$104$429137350-15.6%
Indiana$103$41986331-16.9%
Oregon$101$4314083-18.2%
New Hampshire$100$2971351-18.9%
Iowa$99$4351946-20.0%
Minnesota$98$5264981-20.6%
Louisiana$98$91353124-21.1%
Washington$97$22456258-21.4%
Kansas$96$3423147-22.2%
Kentucky$94$3592675-24.1%
Arkansas$93$3452133-25.1%
Utah$91$42236158-26.1%
Idaho$89$2381322-27.9%
Wisconsin$86$1,1864761-30.7%
Rhode Island$77$3671020-37.4%
West Virginia$73$3001029-40.7%
Vermont$73$3531261-41.3%
North Dakota$71$7621226-42.9%
Montana$68$1551533-44.8%
Maine$66$270827-47.0%
Delaware$59$311924-52.7%

⚠️ 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