Destruction and/or removal of large growth of bladder using an endoscope
Medicare pricing data for 5,922 providers across 52 states
Prices vary significantly by location — from $351 in South Dakota to $1,163 in Alaska. 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 large growth of bladder using an endoscope (HCPCS code 52240) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $533.25, but hospitals typically charge $2,397 — a 4.5x 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 $533.25, your out-of-pocket cost would be approximately $106.65. 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 4.5x more than what Medicare allows for this procedure. Medicare actually pays $422.69 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $1,163 | $14,225 | 14 | 46 | +118.1% |
| Maryland | $942 | $2,704 | 129 | 630 | +76.7% |
| Colorado | $726 | $2,975 | 109 | 354 | +36.1% |
| Puerto Rico | $662 | $1,144 | 12 | 18 | +24.1% |
| New Jersey | $642 | $3,845 | 234 | 931 | +20.4% |
| Hawaii | $629 | $2,166 | 14 | 48 | +18.0% |
| Tennessee | $627 | $2,175 | 127 | 544 | +17.7% |
| Iowa | $623 | $2,093 | 51 | 220 | +16.8% |
| California | $622 | $2,495 | 533 | 2,053 | +16.7% |
| Oregon | $611 | $2,121 | 67 | 252 | +14.6% |
| Florida | $590 | $2,555 | 522 | 1,960 | +10.7% |
| Arizona | $588 | $3,440 | 148 | 752 | +10.2% |
| Mississippi | $584 | $2,357 | 51 | 257 | +9.5% |
| Indiana | $582 | $3,371 | 148 | 555 | +9.1% |
| Virginia | $526 | $1,974 | 142 | 501 | -1.4% |
| Georgia | $510 | $2,115 | 178 | 523 | -4.4% |
| Illinois | $503 | $2,931 | 209 | 860 | -5.6% |
| Texas | $499 | $2,038 | 388 | 1,258 | -6.4% |
| Nevada | $488 | $1,903 | 37 | 187 | -8.4% |
| South Carolina | $487 | $2,042 | 107 | 493 | -8.7% |
| Nebraska | $482 | $2,206 | 41 | 139 | -9.6% |
| Minnesota | $480 | $2,615 | 94 | 241 | -10.0% |
| Michigan | $471 | $1,754 | 190 | 595 | -11.6% |
| Delaware | $471 | $1,770 | 23 | 61 | -11.7% |
| Pennsylvania | $469 | $1,999 | 274 | 847 | -12.1% |
| New York | $465 | $2,501 | 355 | 1,231 | -12.8% |
| Montana | $455 | $1,303 | 26 | 85 | -14.7% |
| Missouri | $448 | $1,980 | 107 | 375 | -15.9% |
| Ohio | $444 | $1,752 | 225 | 803 | -16.6% |
| Utah | $443 | $1,640 | 44 | 132 | -16.9% |
| Washington | $443 | $1,372 | 122 | 414 | -17.0% |
| Alabama | $442 | $1,722 | 84 | 242 | -17.2% |
| Louisiana | $441 | $2,126 | 77 | 199 | -17.4% |
| Rhode Island | $438 | $1,131 | 17 | 62 | -17.8% |
| Massachusetts | $435 | $2,138 | 163 | 535 | -18.4% |
| Wisconsin | $434 | $4,846 | 91 | 262 | -18.5% |
| District of Columbia | $433 | $2,249 | 19 | 103 | -18.8% |
| Idaho | $424 | $1,245 | 31 | 106 | -20.5% |
| North Carolina | $420 | $1,857 | 172 | 563 | -21.2% |
| Kansas | $420 | $1,638 | 54 | 222 | -21.2% |
| Wyoming | $410 | $1,537 | 11 | 40 | -23.1% |
| Kentucky | $409 | $1,384 | 63 | 208 | -23.3% |
| New Hampshire | $401 | $3,195 | 37 | 174 | -24.9% |
| Connecticut | $399 | $2,099 | 80 | 235 | -25.1% |
| Oklahoma | $392 | $1,329 | 75 | 266 | -26.6% |
| Arkansas | $377 | $1,348 | 45 | 145 | -29.3% |
| New Mexico | $368 | $1,273 | 19 | 40 | -31.0% |
| Maine | $363 | $1,093 | 28 | 52 | -32.0% |
| West Virginia | $360 | $1,332 | 33 | 106 | -32.5% |
| North Dakota | $358 | $1,877 | 10 | 43 | -32.9% |
| Vermont | $357 | $2,083 | 18 | 37 | -33.0% |
| South Dakota | $351 | $2,417 | 17 | 66 | -34.3% |
⚠️ 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