52240

Destruction and/or removal of large growth of bladder using an endoscope

Medicare pricing data for 5,922 providers across 52 states

🤖AI Overview

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

$106.65

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.

Average Allowed Cost
$533.25
Average Hospital Charge
$2,397
Markup Ratio
4.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$2,397.07
Medicare Allowed$533.25
Medicare Payment$422.69

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

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$1,163$14,2251446+118.1%
Maryland$942$2,704129630+76.7%
Colorado$726$2,975109354+36.1%
Puerto Rico$662$1,1441218+24.1%
New Jersey$642$3,845234931+20.4%
Hawaii$629$2,1661448+18.0%
Tennessee$627$2,175127544+17.7%
Iowa$623$2,09351220+16.8%
California$622$2,4955332,053+16.7%
Oregon$611$2,12167252+14.6%
Florida$590$2,5555221,960+10.7%
Arizona$588$3,440148752+10.2%
Mississippi$584$2,35751257+9.5%
Indiana$582$3,371148555+9.1%
Virginia$526$1,974142501-1.4%
Georgia$510$2,115178523-4.4%
Illinois$503$2,931209860-5.6%
Texas$499$2,0383881,258-6.4%
Nevada$488$1,90337187-8.4%
South Carolina$487$2,042107493-8.7%
Nebraska$482$2,20641139-9.6%
Minnesota$480$2,61594241-10.0%
Michigan$471$1,754190595-11.6%
Delaware$471$1,7702361-11.7%
Pennsylvania$469$1,999274847-12.1%
New York$465$2,5013551,231-12.8%
Montana$455$1,3032685-14.7%
Missouri$448$1,980107375-15.9%
Ohio$444$1,752225803-16.6%
Utah$443$1,64044132-16.9%
Washington$443$1,372122414-17.0%
Alabama$442$1,72284242-17.2%
Louisiana$441$2,12677199-17.4%
Rhode Island$438$1,1311762-17.8%
Massachusetts$435$2,138163535-18.4%
Wisconsin$434$4,84691262-18.5%
District of Columbia$433$2,24919103-18.8%
Idaho$424$1,24531106-20.5%
North Carolina$420$1,857172563-21.2%
Kansas$420$1,63854222-21.2%
Wyoming$410$1,5371140-23.1%
Kentucky$409$1,38463208-23.3%
New Hampshire$401$3,19537174-24.9%
Connecticut$399$2,09980235-25.1%
Oklahoma$392$1,32975266-26.6%
Arkansas$377$1,34845145-29.3%
New Mexico$368$1,2731940-31.0%
Maine$363$1,0932852-32.0%
West Virginia$360$1,33233106-32.5%
North Dakota$358$1,8771043-32.9%
Vermont$357$2,0831837-33.0%
South Dakota$351$2,4171766-34.3%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber