51725

Simple measurement of pressure of urine flow in bladder

Medicare pricing data for 728 providers across 42 states

🤖AI Overview

Prices vary significantly by location — from $74 in New Hampshire to $255 in New York. Where you get this procedure matters more than almost any other factor. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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 measurement of pressure of urine flow in bladder (HCPCS code 51725) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $184.70, but hospitals typically charge $571.46 — a 3.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$36.94

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $184.70, your out-of-pocket cost would be approximately $36.94. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$184.70
Average Hospital Charge
$571.46
Markup Ratio
3.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$571.46
Medicare Allowed$184.70
Medicare Payment$140.86

Hospitals charge 3.1x more than what Medicare allows for this procedure. Medicare actually pays $140.86 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$255$1,01348663+38.2%
Connecticut$250$818858+35.6%
Hawaii$225$581414+21.7%
District of Columbia$219$568317+18.5%
Washington$217$40221124+17.7%
Arizona$214$48823447+15.7%
Kansas$211$641468+14.4%
New Jersey$209$69628574+13.4%
Ohio$206$47436586+11.3%
Nevada$205$8408114+10.9%
West Virginia$203$457424+9.7%
Alabama$202$535936+9.3%
North Carolina$202$69623118+9.2%
Oklahoma$201$4831148+8.8%
Illinois$196$87523135+6.3%
Texas$196$39339841+6.1%
Maryland$181$43715156-1.8%
Massachusetts$181$55937425-2.1%
Florida$179$50350651-3.0%
Rhode Island$179$476830-3.4%
Georgia$175$573853-5.4%
California$175$53186789-5.5%
Iowa$174$523417-5.6%
Nebraska$174$423747-5.9%
Virginia$173$61525134-6.4%
Pennsylvania$173$48746278-6.5%
Wisconsin$170$1,6291247-8.0%
Colorado$170$5461061-8.2%
Indiana$158$4291027-14.6%
South Carolina$140$80214417-24.0%
Tennessee$140$46614222-24.5%
Arkansas$135$474713-26.7%
Mississippi$135$651638-27.0%
Utah$126$572513-31.7%
Michigan$125$31327198-32.3%
Kentucky$116$4928228-36.9%
Vermont$113$622235-38.6%
Oregon$112$511434-39.2%
Louisiana$95$302615-48.5%
Montana$94$287311-49.3%
South Dakota$85$1546266-54.1%
New Hampshire$74$697216-60.0%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber