51784

Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings

Medicare pricing data for 7,228 providers across 52 states

🤖AI Overview

This procedure has a 12.9x markup — hospitals charge $414.09 but Medicare allows only $32.06. Uninsured patients may face bills 12.9 times higher than what insurance negotiates. Prices vary significantly by location — from $18 in Vermont to $51 in Maine. 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

Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings (HCPCS code 51784) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $32.06, but hospitals typically charge $414.09 — a 12.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$6.41

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $32.06, your out-of-pocket cost would be approximately $6.41. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$32.06
Average Hospital Charge
$414.09
Markup Ratio
12.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$414.09
Medicare Allowed$32.06
Medicare Payment$25.32

Hospitals charge 12.9x more than what Medicare allows for this procedure. Medicare actually pays $25.32 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Maine$51$34222368+59.7%
New York$39$59256818,592+22.8%
Alaska$39$2,5031058+20.4%
New Jersey$38$4842925,326+17.2%
Nevada$36$304571,082+12.8%
Minnesota$36$4131332,147+12.6%
Florida$35$32764713,539+9.6%
Virginia$35$4201903,516+7.9%
District of Columbia$34$42225371+7.3%
Illinois$34$6412934,957+5.4%
California$34$33152112,020+4.6%
Puerto Rico$32$1051487-0.5%
Maryland$32$4221602,872-0.7%
Connecticut$31$529801,297-2.8%
Colorado$31$3931332,260-3.9%
Pennsylvania$31$3703164,283-4.1%
Texas$31$3554749,243-4.4%
West Virginia$31$38734313-4.8%
Arizona$31$3041744,629-4.8%
Massachusetts$30$5182053,562-6.2%
Oklahoma$30$350531,118-6.6%
North Carolina$29$4432103,467-9.0%
Indiana$29$4821541,355-11.1%
Nebraska$28$45848835-11.1%
Wyoming$28$5356123-11.3%
Kentucky$28$35784716-11.3%
South Carolina$28$461991,670-11.9%
Michigan$28$3182432,134-12.1%
Ohio$28$3933224,175-12.3%
Hawaii$28$2429175-12.4%
Alabama$28$3161061,340-13.2%
Tennessee$28$3941662,950-13.6%
Arkansas$27$33941373-14.6%
Louisiana$27$368981,018-14.7%
Utah$27$37651418-14.9%
Kansas$27$356701,034-15.2%
Georgia$27$3162644,978-15.2%
Washington$25$2611171,715-20.9%
Rhode Island$25$21527390-22.4%
New Hampshire$25$49341516-23.3%
Idaho$24$19036394-24.0%
Iowa$24$294651,038-26.6%
Oregon$23$245901,129-29.5%
South Dakota$22$27026386-31.0%
New Mexico$22$33435363-31.3%
Missouri$22$2831452,576-32.4%
Delaware$21$32315434-34.2%
Mississippi$21$396801,414-34.5%
Wisconsin$21$7341171,100-34.5%
Montana$21$22828250-35.0%
North Dakota$19$55210144-39.5%
Vermont$18$645111-44.8%

⚠️ 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