51729

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

Medicare pricing data for 3,552 providers across 51 states

🤖AI Overview

Prices vary significantly by location — from $122 in Montana to $415 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 urethra pressure and voiding pressure studies (HCPCS code 51729) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $340.64, but hospitals typically charge $964.57 — a 2.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$68.13

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $340.64, your out-of-pocket cost would be approximately $68.13. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$340.64
Average Hospital Charge
$964.57
Markup Ratio
2.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$964.57
Medicare Allowed$340.64
Medicare Payment$266.03

Hospitals charge 2.8x more than what Medicare allows for this procedure. Medicare actually pays $266.03 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$415$1,3142514,640+21.9%
District of Columbia$415$1,354570+21.8%
New Jersey$412$1,5131802,293+21.0%
Hawaii$397$1,0914101+16.7%
Puerto Rico$385$4501173+13.1%
California$380$7992785,091+11.6%
Florida$367$9883687,100+7.8%
Nevada$358$1,07816231+5.0%
Arizona$354$8311001,963+4.0%
Texas$351$9241972,696+2.9%
Maryland$347$1,199851,368+1.9%
Massachusetts$343$1,1211091,342+0.8%
Tennessee$341$83756971+0.2%
Missouri$340$92144454-0.2%
Georgia$335$1,0271251,481-1.5%
Pennsylvania$335$7881371,757-1.7%
Kansas$334$63414356-1.9%
Indiana$329$1,04868619-3.4%
Connecticut$328$99137578-3.6%
Virginia$328$782751,150-3.7%
Washington$323$89047849-5.2%
Oklahoma$322$68736663-5.4%
Alabama$322$64870625-5.6%
Arkansas$321$72923255-5.7%
South Carolina$321$943601,052-5.9%
Minnesota$318$1,22262382-6.5%
Louisiana$318$73353373-6.7%
Nebraska$318$87112197-6.8%
Wyoming$317$589358-6.9%
Illinois$312$1,2341271,697-8.5%
Utah$311$69925158-8.6%
North Carolina$310$9231201,721-9.0%
Maine$305$8901149-10.4%
Kentucky$303$81250429-11.1%
Ohio$289$7291771,786-15.2%
Michigan$272$7221441,102-20.2%
Iowa$260$87125239-23.8%
New Hampshire$256$1,11920148-24.8%
Mississippi$246$614601,103-27.8%
Colorado$244$73151725-28.5%
Oregon$240$85635513-29.6%
Wisconsin$210$1,82355474-38.5%
North Dakota$198$550766-41.9%
New Mexico$194$66021173-42.9%
West Virginia$186$91217166-45.5%
Idaho$183$45215146-46.3%
Alaska$151$831519-55.6%
South Dakota$151$29912279-55.8%
Rhode Island$126$3808124-63.1%
Delaware$124$35710206-63.5%
Montana$122$483891-64.3%

⚠️ 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