51797

Insertion of device into abdomen with pressure and urine flow rate study

Medicare pricing data for 6,586 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $39 in Vermont to $204 in New Jersey. 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

Insertion of device into abdomen with pressure and urine flow rate study (HCPCS code 51797) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $160.11, but hospitals typically charge $496.62 — a 3.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$32.02

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $160.11, your out-of-pocket cost would be approximately $32.02. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$160.11
Average Hospital Charge
$496.62
Markup Ratio
3.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$496.62
Medicare Allowed$160.11
Medicare Payment$127.44

Hospitals charge 3.1x more than what Medicare allows for this procedure. Medicare actually pays $127.44 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Jersey$204$9062694,333+27.2%
Alaska$196$1,542839+22.6%
New York$194$6914967,734+21.0%
California$191$4824598,106+19.1%
District of Columbia$190$51024396+18.4%
Puerto Rico$189$2091490+18.1%
Nevada$186$48249534+16.4%
Maryland$185$4921282,261+15.5%
Florida$178$46658810,472+11.4%
Connecticut$174$613661,087+8.9%
Arizona$171$4411673,668+6.6%
Nebraska$169$49545811+5.6%
Colorado$167$6041131,842+4.3%
Massachusetts$166$6021883,054+3.9%
Oklahoma$164$349491,122+2.3%
Texas$161$4144297,895+0.7%
Illinois$160$6692523,107-0.1%
Indiana$159$4731441,583-0.7%
South Carolina$159$511921,637-0.7%
Minnesota$158$7241121,146-1.4%
Arkansas$158$38743559-1.5%
Wyoming$158$402581-1.6%
Virginia$155$3701592,474-3.0%
Pennsylvania$153$4103133,826-4.2%
Tennessee$153$4021532,702-4.6%
Utah$150$40650374-6.2%
North Carolina$149$5222022,937-7.2%
Kansas$148$344641,014-7.9%
New Hampshire$145$50735374-9.7%
Michigan$141$3632362,045-11.8%
Kentucky$139$41983721-12.9%
Washington$136$3391131,675-15.1%
Louisiana$134$38088698-16.6%
Georgia$133$3942354,202-17.0%
Alabama$131$2731071,309-18.4%
Oregon$124$382921,256-22.3%
Iowa$119$41465977-25.7%
Maine$118$2242283-26.1%
Mississippi$117$326741,298-26.9%
Ohio$115$4992873,172-28.0%
Hawaii$113$3198160-29.5%
Missouri$108$3751272,145-32.5%
Idaho$108$23838368-32.8%
New Mexico$90$36731306-43.8%
Wisconsin$83$8851121,155-48.3%
Delaware$82$30522455-49.0%
Rhode Island$82$40627325-49.1%
West Virginia$79$30432214-50.8%
Montana$76$30728254-52.3%
North Dakota$72$48110128-54.8%
South Dakota$65$18621305-59.5%
Vermont$39$765106-75.5%

⚠️ 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