Dilation of urethra using an endoscope
Medicare pricing data for 9,167 providers across 52 states
Prices vary significantly by location — from $144 in North Dakota to $431 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
Dilation of urethra using an endoscope (HCPCS code 52281) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $321.52, but hospitals typically charge $1,289 — a 4.0x 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 $321.52, your out-of-pocket cost would be approximately $64.30. 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 4.0x more than what Medicare allows for this procedure. Medicare actually pays $250.21 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Maryland | $431 | $1,719 | 184 | 1,376 | +34.0% |
| Colorado | $372 | $2,204 | 164 | 813 | +15.8% |
| New Jersey | $370 | $2,074 | 365 | 3,575 | +15.0% |
| California | $370 | $1,108 | 744 | 7,932 | +14.9% |
| Nebraska | $362 | $1,432 | 52 | 250 | +12.6% |
| Mississippi | $358 | $2,132 | 81 | 1,046 | +11.3% |
| Delaware | $348 | $1,231 | 40 | 197 | +8.2% |
| Florida | $346 | $1,290 | 815 | 6,217 | +7.5% |
| New York | $345 | $1,160 | 589 | 3,447 | +7.2% |
| Georgia | $344 | $1,609 | 274 | 1,816 | +7.1% |
| Arizona | $331 | $1,258 | 247 | 1,584 | +3.0% |
| Pennsylvania | $325 | $982 | 405 | 1,579 | +1.1% |
| Hawaii | $324 | $1,026 | 23 | 114 | +0.8% |
| Puerto Rico | $324 | $361 | 19 | 44 | +0.7% |
| Oregon | $317 | $1,204 | 103 | 303 | -1.4% |
| Nevada | $313 | $880 | 55 | 320 | -2.6% |
| Massachusetts | $309 | $1,231 | 233 | 1,147 | -3.8% |
| Tennessee | $305 | $1,045 | 215 | 1,145 | -5.0% |
| Virginia | $301 | $1,191 | 235 | 826 | -6.5% |
| Kansas | $299 | $1,249 | 86 | 341 | -7.1% |
| Alaska | $297 | $3,696 | 20 | 42 | -7.6% |
| Ohio | $297 | $1,017 | 342 | 1,990 | -7.6% |
| South Carolina | $292 | $1,157 | 166 | 1,085 | -9.3% |
| Washington | $289 | $936 | 171 | 578 | -10.1% |
| Louisiana | $288 | $1,346 | 146 | 1,098 | -10.3% |
| South Dakota | $280 | $1,338 | 22 | 156 | -12.9% |
| Connecticut | $279 | $1,460 | 101 | 295 | -13.3% |
| Texas | $276 | $1,321 | 556 | 2,073 | -14.3% |
| Michigan | $275 | $793 | 287 | 1,166 | -14.4% |
| Kentucky | $268 | $1,087 | 90 | 536 | -16.6% |
| Idaho | $265 | $694 | 42 | 95 | -17.5% |
| Arkansas | $263 | $869 | 70 | 384 | -18.2% |
| Indiana | $262 | $1,973 | 257 | 792 | -18.6% |
| Missouri | $261 | $1,110 | 183 | 663 | -19.0% |
| Rhode Island | $260 | $765 | 31 | 91 | -19.0% |
| Illinois | $260 | $1,139 | 426 | 2,801 | -19.1% |
| Wyoming | $256 | $1,030 | 19 | 67 | -20.3% |
| Alabama | $254 | $920 | 125 | 517 | -21.0% |
| Utah | $247 | $817 | 74 | 246 | -23.3% |
| North Carolina | $245 | $992 | 304 | 872 | -23.9% |
| Minnesota | $238 | $1,392 | 155 | 378 | -25.9% |
| New Mexico | $231 | $890 | 35 | 88 | -28.3% |
| Oklahoma | $229 | $698 | 124 | 640 | -28.7% |
| Iowa | $222 | $1,175 | 89 | 268 | -30.9% |
| District of Columbia | $220 | $900 | 29 | 93 | -31.7% |
| Montana | $205 | $582 | 39 | 142 | -36.2% |
| Wisconsin | $202 | $1,874 | 158 | 388 | -37.1% |
| New Hampshire | $191 | $1,234 | 44 | 96 | -40.6% |
| Vermont | $161 | $766 | 22 | 53 | -50.1% |
| West Virginia | $157 | $1,070 | 43 | 174 | -51.2% |
| Maine | $157 | $622 | 37 | 86 | -51.2% |
| North Dakota | $144 | $1,701 | 11 | 70 | -55.3% |
⚠️ 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