Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm
Medicare pricing data for 6,944 providers across 52 states
Prices vary significantly by location — from $216 in South Dakota to $701 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 and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm (HCPCS code 52234) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $400.13, but hospitals typically charge $1,754 — a 4.4x 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 $400.13, your out-of-pocket cost would be approximately $80.03. 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 4.4x more than what Medicare allows for this procedure. Medicare actually pays $314.95 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Maryland | $701 | $2,010 | 160 | 1,111 | +75.2% |
| Alaska | $616 | $10,061 | 16 | 53 | +53.9% |
| Colorado | $527 | $3,003 | 110 | 348 | +31.8% |
| Wyoming | $525 | $2,721 | 12 | 61 | +31.2% |
| Florida | $521 | $2,489 | 532 | 2,203 | +30.2% |
| Delaware | $513 | $1,419 | 20 | 164 | +28.1% |
| Mississippi | $499 | $1,617 | 62 | 252 | +24.7% |
| New Jersey | $476 | $3,018 | 277 | 1,223 | +19.0% |
| Virginia | $472 | $1,589 | 187 | 1,067 | +18.0% |
| Tennessee | $463 | $1,545 | 172 | 800 | +15.8% |
| Oregon | $461 | $1,637 | 85 | 346 | +15.2% |
| California | $453 | $2,100 | 527 | 1,852 | +13.3% |
| Arizona | $432 | $2,092 | 142 | 571 | +8.0% |
| Idaho | $425 | $1,055 | 34 | 162 | +6.1% |
| Iowa | $424 | $1,178 | 58 | 248 | +5.9% |
| Ohio | $420 | $1,297 | 282 | 1,078 | +4.9% |
| Montana | $417 | $1,096 | 29 | 122 | +4.3% |
| Nebraska | $417 | $1,388 | 47 | 212 | +4.2% |
| Missouri | $403 | $1,695 | 137 | 643 | +0.8% |
| Indiana | $401 | $2,587 | 176 | 768 | +0.2% |
| Georgia | $396 | $1,668 | 213 | 887 | -1.0% |
| Kansas | $391 | $1,776 | 71 | 398 | -2.2% |
| Nevada | $387 | $2,201 | 35 | 191 | -3.4% |
| Texas | $379 | $1,882 | 445 | 1,442 | -5.2% |
| Alabama | $365 | $1,230 | 91 | 282 | -8.7% |
| Illinois | $345 | $1,709 | 267 | 1,082 | -13.8% |
| Pennsylvania | $343 | $1,337 | 340 | 1,436 | -14.2% |
| Kentucky | $340 | $1,237 | 78 | 326 | -15.1% |
| New York | $337 | $1,460 | 458 | 1,839 | -15.8% |
| Puerto Rico | $337 | $391 | 10 | 13 | -15.8% |
| South Carolina | $336 | $1,415 | 126 | 726 | -16.0% |
| Utah | $327 | $1,216 | 45 | 150 | -18.4% |
| Washington | $320 | $880 | 141 | 549 | -19.9% |
| Connecticut | $320 | $1,984 | 107 | 353 | -20.0% |
| Minnesota | $304 | $1,784 | 120 | 413 | -24.1% |
| Wisconsin | $301 | $2,651 | 130 | 473 | -24.7% |
| Massachusetts | $299 | $1,343 | 208 | 836 | -25.3% |
| Arkansas | $286 | $887 | 48 | 265 | -28.5% |
| Rhode Island | $274 | $689 | 24 | 115 | -31.4% |
| North Carolina | $274 | $1,242 | 237 | 701 | -31.6% |
| Oklahoma | $269 | $946 | 84 | 325 | -32.7% |
| Michigan | $264 | $851 | 209 | 703 | -34.1% |
| New Hampshire | $260 | $1,654 | 42 | 145 | -35.0% |
| New Mexico | $260 | $1,064 | 25 | 67 | -35.1% |
| Louisiana | $257 | $1,071 | 91 | 278 | -35.7% |
| District of Columbia | $245 | $993 | 18 | 75 | -38.8% |
| Hawaii | $244 | $1,117 | 15 | 33 | -38.9% |
| Maine | $231 | $721 | 44 | 141 | -42.4% |
| West Virginia | $227 | $776 | 38 | 157 | -43.3% |
| North Dakota | $227 | $745 | 10 | 55 | -43.4% |
| Vermont | $222 | $1,277 | 17 | 96 | -44.5% |
| South Dakota | $216 | $1,261 | 20 | 104 | -46.0% |
⚠️ 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