Destruction of tissue of bladder, urethra, or surrounding glands using an endoscope
Medicare pricing data for 4,935 providers across 51 states
This procedure has a 6.1x markup — hospitals charge $2,286 but Medicare allows only $375.53. Uninsured patients may face bills 6.1 times higher than what insurance negotiates. Prices vary significantly by location — from $106 in North Dakota to $591 in California. 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
Destruction of tissue of bladder, urethra, or surrounding glands using an endoscope (HCPCS code 52214) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $375.53, but hospitals typically charge $2,286 — a 6.1x 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 $375.53, your out-of-pocket cost would be approximately $75.11. 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 6.1x more than what Medicare allows for this procedure. Medicare actually pays $296.26 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $591 | $2,323 | 383 | 1,854 | +57.5% |
| New York | $580 | $3,211 | 312 | 1,022 | +54.5% |
| Nebraska | $550 | $2,426 | 40 | 157 | +46.4% |
| Rhode Island | $504 | $2,323 | 27 | 60 | +34.1% |
| Oregon | $480 | $1,958 | 52 | 141 | +27.9% |
| Mississippi | $459 | $2,150 | 51 | 329 | +22.3% |
| Massachusetts | $449 | $2,279 | 135 | 444 | +19.7% |
| Wyoming | $445 | $1,870 | 13 | 40 | +18.5% |
| New Jersey | $428 | $3,923 | 243 | 890 | +13.9% |
| Maryland | $411 | $2,422 | 93 | 229 | +9.4% |
| Florida | $400 | $1,696 | 457 | 1,828 | +6.6% |
| Georgia | $361 | $2,236 | 150 | 427 | -3.9% |
| Texas | $350 | $2,235 | 283 | 753 | -6.7% |
| Kansas | $338 | $2,069 | 53 | 196 | -9.9% |
| Utah | $331 | $2,007 | 31 | 98 | -12.0% |
| Arizona | $325 | $1,981 | 108 | 372 | -13.6% |
| Tennessee | $312 | $1,505 | 108 | 299 | -16.9% |
| Indiana | $306 | $2,526 | 119 | 271 | -18.4% |
| Idaho | $304 | $985 | 18 | 30 | -19.1% |
| Alabama | $289 | $1,422 | 76 | 202 | -23.1% |
| Delaware | $287 | $1,620 | 28 | 86 | -23.7% |
| Virginia | $281 | $1,935 | 137 | 358 | -25.0% |
| Pennsylvania | $281 | $1,760 | 248 | 603 | -25.1% |
| Michigan | $274 | $1,729 | 136 | 340 | -27.1% |
| Missouri | $273 | $2,107 | 108 | 236 | -27.4% |
| South Carolina | $262 | $2,741 | 101 | 556 | -30.2% |
| Ohio | $258 | $1,726 | 187 | 385 | -31.4% |
| Colorado | $255 | $2,076 | 74 | 161 | -32.1% |
| Wisconsin | $239 | $4,798 | 98 | 167 | -36.3% |
| Illinois | $238 | $2,704 | 209 | 491 | -36.7% |
| Alaska | $230 | $7,716 | 11 | 49 | -38.8% |
| North Carolina | $220 | $2,519 | 143 | 312 | -41.4% |
| Connecticut | $215 | $2,714 | 62 | 155 | -42.8% |
| Washington | $208 | $1,111 | 99 | 206 | -44.5% |
| New Hampshire | $208 | $1,873 | 24 | 35 | -44.7% |
| Kentucky | $185 | $1,293 | 54 | 112 | -50.9% |
| Minnesota | $183 | $2,840 | 64 | 108 | -51.3% |
| Louisiana | $160 | $1,439 | 73 | 201 | -57.3% |
| Iowa | $160 | $2,358 | 41 | 102 | -57.4% |
| Oklahoma | $156 | $1,160 | 60 | 159 | -58.6% |
| Arkansas | $152 | $1,230 | 41 | 127 | -59.4% |
| Hawaii | $151 | $1,578 | 7 | 11 | -59.8% |
| Vermont | $151 | $1,418 | 11 | 25 | -59.9% |
| Nevada | $144 | $1,825 | 26 | 74 | -61.6% |
| West Virginia | $140 | $1,238 | 16 | 37 | -62.7% |
| Montana | $139 | $729 | 15 | 33 | -62.9% |
| District of Columbia | $136 | $2,020 | 11 | 16 | -63.9% |
| Maine | $133 | $976 | 12 | 23 | -64.5% |
| New Mexico | $125 | $883 | 7 | 26 | -66.7% |
| South Dakota | $124 | $1,187 | 13 | 23 | -67.0% |
| North Dakota | $106 | $3,391 | 7 | 13 | -71.7% |
⚠️ 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