52224

Destruction of growth of bladder and urethra using an endoscope, less than 0.5 cm

Medicare pricing data for 6,127 providers across 51 states

🤖AI Overview

Prices vary significantly by location — from $167 in Vermont to $755 in Maryland. 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 growth of bladder and urethra using an endoscope, less than 0.5 cm (HCPCS code 52224) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $573.20, but hospitals typically charge $2,519 — a 4.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$114.64

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $573.20, your out-of-pocket cost would be approximately $114.64. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$573.20
Average Hospital Charge
$2,519
Markup Ratio
4.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$2,518.51
Medicare Allowed$573.20
Medicare Payment$451.03

Hospitals charge 4.4x more than what Medicare allows for this procedure. Medicare actually pays $451.03 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Maryland$755$3,257140872+31.7%
Alaska$753$13,7681217+31.4%
New York$711$3,2085052,914+24.0%
Oregon$700$2,77179311+22.0%
New Jersey$690$3,5172901,734+20.3%
California$682$2,4274562,432+19.0%
Arizona$659$2,6601731,575+15.0%
District of Columbia$643$2,5071335+12.2%
Florida$635$2,1055793,712+10.8%
Colorado$593$2,736104289+3.4%
Texas$586$2,1823341,858+2.2%
Connecticut$578$3,14470190+0.9%
Hawaii$556$2,1661147-3.1%
Wyoming$533$3,5561246-7.1%
Idaho$530$1,2982860-7.5%
Illinois$528$3,5602831,387-7.8%
Georgia$518$2,297165601-9.6%
Missouri$507$2,474104294-11.6%
Ohio$500$1,551211787-12.8%
Washington$494$1,655100291-13.9%
Pennsylvania$482$1,6932801,119-15.9%
Mississippi$481$2,21644250-16.0%
Utah$479$2,03246120-16.5%
Virginia$478$2,260158623-16.5%
Oklahoma$477$1,20478413-16.7%
Nebraska$476$2,27839181-17.0%
South Carolina$465$2,62698563-18.8%
Massachusetts$463$2,962208851-19.2%
North Carolina$456$2,493194566-20.5%
Wisconsin$452$3,82084221-21.1%
Iowa$442$2,46457167-22.8%
Tennessee$436$1,747133691-24.0%
Nevada$427$2,5632878-25.6%
Rhode Island$420$1,7733472-26.6%
Kentucky$418$2,26950219-27.0%
Michigan$413$1,878217697-28.0%
Minnesota$411$3,06789283-28.4%
Delaware$401$2,08718102-30.1%
Indiana$375$2,611167526-34.6%
Montana$370$1,2652582-35.5%
Kansas$355$2,37554183-38.1%
South Dakota$352$1,87718110-38.6%
Arkansas$352$1,3922865-38.6%
New Hampshire$346$2,24842103-39.6%
Louisiana$324$1,58383251-43.4%
Alabama$286$1,74468198-50.1%
Maine$208$9913575-63.6%
New Mexico$188$1,7991215-67.2%
North Dakota$181$2,349831-68.4%
West Virginia$179$1,1012360-68.7%
Vermont$167$2,6441122-70.9%

⚠️ 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