51728

Complex measurement of pressure of urine flow in bladder with voiding pressure studies

Medicare pricing data for 5,316 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $97 in North Dakota to $396 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

Complex measurement of pressure of urine flow in bladder with voiding pressure studies (HCPCS code 51728) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $314.29, but hospitals typically charge $882.57 — a 2.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$62.86

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $314.29, your out-of-pocket cost would be approximately $62.86. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$314.29
Average Hospital Charge
$882.57
Markup Ratio
2.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$882.57
Medicare Allowed$314.29
Medicare Payment$244.88

Hospitals charge 2.8x more than what Medicare allows for this procedure. Medicare actually pays $244.88 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$396$1,1994099,503+26.0%
California$392$90240910,827+24.7%
Alaska$390$1,7488240+24.0%
New Jersey$381$1,4202112,714+21.3%
Nevada$365$78544896+16.2%
Colorado$363$1,181931,300+15.4%
District of Columbia$362$1,00023395+15.3%
Connecticut$357$1,30366763+13.4%
Puerto Rico$345$353418+9.8%
Michigan$342$6221873,700+9.0%
Wyoming$337$1,513466+7.2%
Illinois$336$1,0612092,344+6.8%
Arizona$332$9101323,713+5.5%
Florida$324$8363804,485+3.2%
Oklahoma$324$65427481+3.1%
South Dakota$319$1,01314124+1.5%
Utah$316$72545482+0.5%
Nebraska$307$87943737-2.3%
Minnesota$300$1,30187911-4.4%
Arkansas$298$73733318-5.3%
Texas$295$8123335,741-6.1%
Massachusetts$295$9851502,148-6.1%
Virginia$293$8361421,709-6.8%
Washington$287$6481141,720-8.8%
Pennsylvania$279$6982522,431-11.1%
Maryland$278$8491151,431-11.5%
Indiana$276$7231331,616-12.1%
Kansas$262$67755693-16.5%
South Carolina$262$98667820-16.5%
Oregon$260$79270866-17.3%
Georgia$255$5741813,960-18.9%
Tennessee$254$7811352,373-19.2%
North Carolina$251$7881501,923-20.3%
Iowa$247$84660997-21.5%
New Hampshire$241$90333369-23.2%
Kentucky$240$64651343-23.8%
Idaho$239$52131341-23.9%
Montana$238$55722251-24.3%
Rhode Island$233$76325278-25.9%
Louisiana$221$73560386-29.6%
Delaware$221$46219304-29.6%
Missouri$219$6811372,398-30.3%
Alabama$214$47655718-31.9%
Mississippi$189$47538217-40.0%
Ohio$187$6822732,798-40.4%
New Mexico$176$75626185-44.0%
Wisconsin$167$1,25783765-46.7%
West Virginia$167$5282599-46.8%
Hawaii$149$3929101-52.5%
Maine$125$3441874-60.4%
Vermont$101$1905107-67.9%
North Dakota$97$1,145774-69.1%

⚠️ 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