52000

Diagnostic exam of bladder and urethra using an endoscope

Medicare pricing data for 17,757 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $84 in North Dakota to $244 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

Diagnostic exam of bladder and urethra using an endoscope (HCPCS code 52000) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $199.15, but hospitals typically charge $776.80 — a 3.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$39.83

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $199.15, your out-of-pocket cost would be approximately $39.83. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$199.15
Average Hospital Charge
$776.80
Markup Ratio
3.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$776.80
Medicare Allowed$199.15
Medicare Payment$150.61

Hospitals charge 3.9x more than what Medicare allows for this procedure. Medicare actually pays $150.61 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Jersey$244$1,37660324,190+22.4%
California$235$7421,58565,465+18.2%
Puerto Rico$230$30085614+15.7%
Alaska$229$1,688461,472+15.2%
Massachusetts$226$83546125,336+13.3%
New York$223$9401,26053,126+12.2%
District of Columbia$222$621862,246+11.3%
Delaware$219$477564,097+10.1%
Virginia$216$57646522,045+8.5%
Nevada$216$6771166,878+8.3%
Connecticut$216$8522508,234+8.3%
Illinois$213$78764331,553+7.1%
Rhode Island$211$568842,323+6.1%
Wyoming$211$654271,547+5.9%
Florida$211$6671,36674,576+5.9%
Arizona$209$75539428,237+4.8%
Texas$206$9041,21747,502+3.5%
Missouri$203$59437214,686+2.0%
Utah$203$5141295,163+1.8%
Oregon$201$80621411,140+1.2%
Colorado$200$1,50729515,857+0.7%
North Carolina$200$59657823,252+0.5%
Minnesota$200$85734911,169+0.4%
South Carolina$200$60628816,437+0.3%
Oklahoma$199$4772118,682+0.1%
Hawaii$196$650511,375-1.8%
Alabama$193$4452478,205-3.0%
Washington$190$57436818,370-4.4%
Kentucky$188$60218611,300-5.4%
Michigan$186$45054820,298-6.4%
Tennessee$186$70339422,341-6.8%
Pennsylvania$184$66983541,208-7.6%
Maryland$182$1,21734837,663-8.8%
Georgia$179$1,01152728,197-10.0%
Indiana$179$67841518,946-10.0%
Louisiana$178$6562709,574-10.4%
Arkansas$177$5181397,776-11.4%
New Mexico$173$459712,579-13.4%
Mississippi$170$64114710,626-14.4%
Iowa$168$6421648,083-15.9%
Kansas$167$66217011,216-16.0%
Wisconsin$165$1,26032611,586-17.4%
Nebraska$160$8001149,393-19.5%
Ohio$158$59171131,260-20.6%
New Hampshire$158$645894,364-20.9%
Idaho$152$422834,154-23.6%
Montana$148$391843,672-25.9%
South Dakota$137$964433,849-31.4%
Maine$113$331802,833-43.1%
West Virginia$96$678893,098-52.0%
Vermont$86$320401,985-56.7%
North Dakota$84$686241,966-57.8%

⚠️ 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