Insertion of device into abdomen with pressure and urine flow rate study
Medicare pricing data for 6,586 providers across 52 states
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
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.
What Hospitals Charge vs. What Medicare Pays
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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Jersey | $204 | $906 | 269 | 4,333 | +27.2% |
| Alaska | $196 | $1,542 | 8 | 39 | +22.6% |
| New York | $194 | $691 | 496 | 7,734 | +21.0% |
| California | $191 | $482 | 459 | 8,106 | +19.1% |
| District of Columbia | $190 | $510 | 24 | 396 | +18.4% |
| Puerto Rico | $189 | $209 | 14 | 90 | +18.1% |
| Nevada | $186 | $482 | 49 | 534 | +16.4% |
| Maryland | $185 | $492 | 128 | 2,261 | +15.5% |
| Florida | $178 | $466 | 588 | 10,472 | +11.4% |
| Connecticut | $174 | $613 | 66 | 1,087 | +8.9% |
| Arizona | $171 | $441 | 167 | 3,668 | +6.6% |
| Nebraska | $169 | $495 | 45 | 811 | +5.6% |
| Colorado | $167 | $604 | 113 | 1,842 | +4.3% |
| Massachusetts | $166 | $602 | 188 | 3,054 | +3.9% |
| Oklahoma | $164 | $349 | 49 | 1,122 | +2.3% |
| Texas | $161 | $414 | 429 | 7,895 | +0.7% |
| Illinois | $160 | $669 | 252 | 3,107 | -0.1% |
| Indiana | $159 | $473 | 144 | 1,583 | -0.7% |
| South Carolina | $159 | $511 | 92 | 1,637 | -0.7% |
| Minnesota | $158 | $724 | 112 | 1,146 | -1.4% |
| Arkansas | $158 | $387 | 43 | 559 | -1.5% |
| Wyoming | $158 | $402 | 5 | 81 | -1.6% |
| Virginia | $155 | $370 | 159 | 2,474 | -3.0% |
| Pennsylvania | $153 | $410 | 313 | 3,826 | -4.2% |
| Tennessee | $153 | $402 | 153 | 2,702 | -4.6% |
| Utah | $150 | $406 | 50 | 374 | -6.2% |
| North Carolina | $149 | $522 | 202 | 2,937 | -7.2% |
| Kansas | $148 | $344 | 64 | 1,014 | -7.9% |
| New Hampshire | $145 | $507 | 35 | 374 | -9.7% |
| Michigan | $141 | $363 | 236 | 2,045 | -11.8% |
| Kentucky | $139 | $419 | 83 | 721 | -12.9% |
| Washington | $136 | $339 | 113 | 1,675 | -15.1% |
| Louisiana | $134 | $380 | 88 | 698 | -16.6% |
| Georgia | $133 | $394 | 235 | 4,202 | -17.0% |
| Alabama | $131 | $273 | 107 | 1,309 | -18.4% |
| Oregon | $124 | $382 | 92 | 1,256 | -22.3% |
| Iowa | $119 | $414 | 65 | 977 | -25.7% |
| Maine | $118 | $224 | 22 | 83 | -26.1% |
| Mississippi | $117 | $326 | 74 | 1,298 | -26.9% |
| Ohio | $115 | $499 | 287 | 3,172 | -28.0% |
| Hawaii | $113 | $319 | 8 | 160 | -29.5% |
| Missouri | $108 | $375 | 127 | 2,145 | -32.5% |
| Idaho | $108 | $238 | 38 | 368 | -32.8% |
| New Mexico | $90 | $367 | 31 | 306 | -43.8% |
| Wisconsin | $83 | $885 | 112 | 1,155 | -48.3% |
| Delaware | $82 | $305 | 22 | 455 | -49.0% |
| Rhode Island | $82 | $406 | 27 | 325 | -49.1% |
| West Virginia | $79 | $304 | 32 | 214 | -50.8% |
| Montana | $76 | $307 | 28 | 254 | -52.3% |
| North Dakota | $72 | $481 | 10 | 128 | -54.8% |
| South Dakota | $65 | $186 | 21 | 305 | -59.5% |
| Vermont | $39 | $76 | 5 | 106 | -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.
💊 Need post-procedure medications? Check costs on OpenPrescriber