Diagnostic exam of bladder and urethra using an endoscope
Medicare pricing data for 17,757 providers across 52 states
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
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.
What Hospitals Charge vs. What Medicare Pays
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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Jersey | $244 | $1,376 | 603 | 24,190 | +22.4% |
| California | $235 | $742 | 1,585 | 65,465 | +18.2% |
| Puerto Rico | $230 | $300 | 85 | 614 | +15.7% |
| Alaska | $229 | $1,688 | 46 | 1,472 | +15.2% |
| Massachusetts | $226 | $835 | 461 | 25,336 | +13.3% |
| New York | $223 | $940 | 1,260 | 53,126 | +12.2% |
| District of Columbia | $222 | $621 | 86 | 2,246 | +11.3% |
| Delaware | $219 | $477 | 56 | 4,097 | +10.1% |
| Virginia | $216 | $576 | 465 | 22,045 | +8.5% |
| Nevada | $216 | $677 | 116 | 6,878 | +8.3% |
| Connecticut | $216 | $852 | 250 | 8,234 | +8.3% |
| Illinois | $213 | $787 | 643 | 31,553 | +7.1% |
| Rhode Island | $211 | $568 | 84 | 2,323 | +6.1% |
| Wyoming | $211 | $654 | 27 | 1,547 | +5.9% |
| Florida | $211 | $667 | 1,366 | 74,576 | +5.9% |
| Arizona | $209 | $755 | 394 | 28,237 | +4.8% |
| Texas | $206 | $904 | 1,217 | 47,502 | +3.5% |
| Missouri | $203 | $594 | 372 | 14,686 | +2.0% |
| Utah | $203 | $514 | 129 | 5,163 | +1.8% |
| Oregon | $201 | $806 | 214 | 11,140 | +1.2% |
| Colorado | $200 | $1,507 | 295 | 15,857 | +0.7% |
| North Carolina | $200 | $596 | 578 | 23,252 | +0.5% |
| Minnesota | $200 | $857 | 349 | 11,169 | +0.4% |
| South Carolina | $200 | $606 | 288 | 16,437 | +0.3% |
| Oklahoma | $199 | $477 | 211 | 8,682 | +0.1% |
| Hawaii | $196 | $650 | 51 | 1,375 | -1.8% |
| Alabama | $193 | $445 | 247 | 8,205 | -3.0% |
| Washington | $190 | $574 | 368 | 18,370 | -4.4% |
| Kentucky | $188 | $602 | 186 | 11,300 | -5.4% |
| Michigan | $186 | $450 | 548 | 20,298 | -6.4% |
| Tennessee | $186 | $703 | 394 | 22,341 | -6.8% |
| Pennsylvania | $184 | $669 | 835 | 41,208 | -7.6% |
| Maryland | $182 | $1,217 | 348 | 37,663 | -8.8% |
| Georgia | $179 | $1,011 | 527 | 28,197 | -10.0% |
| Indiana | $179 | $678 | 415 | 18,946 | -10.0% |
| Louisiana | $178 | $656 | 270 | 9,574 | -10.4% |
| Arkansas | $177 | $518 | 139 | 7,776 | -11.4% |
| New Mexico | $173 | $459 | 71 | 2,579 | -13.4% |
| Mississippi | $170 | $641 | 147 | 10,626 | -14.4% |
| Iowa | $168 | $642 | 164 | 8,083 | -15.9% |
| Kansas | $167 | $662 | 170 | 11,216 | -16.0% |
| Wisconsin | $165 | $1,260 | 326 | 11,586 | -17.4% |
| Nebraska | $160 | $800 | 114 | 9,393 | -19.5% |
| Ohio | $158 | $591 | 711 | 31,260 | -20.6% |
| New Hampshire | $158 | $645 | 89 | 4,364 | -20.9% |
| Idaho | $152 | $422 | 83 | 4,154 | -23.6% |
| Montana | $148 | $391 | 84 | 3,672 | -25.9% |
| South Dakota | $137 | $964 | 43 | 3,849 | -31.4% |
| Maine | $113 | $331 | 80 | 2,833 | -43.1% |
| West Virginia | $96 | $678 | 89 | 3,098 | -52.0% |
| Vermont | $86 | $320 | 40 | 1,985 | -56.7% |
| North Dakota | $84 | $686 | 24 | 1,966 | -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.
💊 Need post-procedure medications? Check costs on OpenPrescriber