52332

Insertion of stent in ureter using an endoscope

Medicare pricing data for 9,798 providers across 52 states

🤖AI Overview

This procedure has a 8.4x markup — hospitals charge $1,824 but Medicare allows only $216.76. Uninsured patients may face bills 8.4 times higher than what insurance negotiates. Prices vary significantly by location — from $128 in North Dakota to $408 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

Insertion of stent in ureter using an endoscope (HCPCS code 52332) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $216.76, but hospitals typically charge $1,824 — a 8.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$43.35

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $216.76, your out-of-pocket cost would be approximately $43.35. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$216.76
Average Hospital Charge
$1,824
Markup Ratio
8.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,824.10
Medicare Allowed$216.76
Medicare Payment$170.71

Hospitals charge 8.4x more than what Medicare allows for this procedure. Medicare actually pays $170.71 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$408$7,24325303+88.1%
Maryland$366$2,1402193,380+68.9%
Mississippi$313$2,003762,024+44.3%
Colorado$302$3,8311721,869+39.3%
Puerto Rico$280$7252751+29.4%
Oregon$279$1,8471221,503+28.5%
Florida$274$1,90476510,018+26.6%
Iowa$265$1,666921,810+22.3%
California$262$2,8018977,766+20.8%
Virginia$259$1,5632203,860+19.5%
Delaware$258$1,15729653+18.9%
Nebraska$245$1,964551,213+13.1%
Tennessee$238$1,7602213,569+10.0%
Georgia$234$1,9082893,713+8.1%
New Jersey$233$2,9133324,427+7.6%
Missouri$233$1,7641963,294+7.5%
Wyoming$230$1,45115221+6.2%
Kansas$224$1,769861,797+3.6%
Utah$217$1,59967948+0.0%
Arizona$216$1,8891982,916-0.4%
Nevada$214$2,19650552-1.4%
Illinois$213$2,0863666,402-1.7%
Indiana$206$2,0352294,260-5.0%
Hawaii$206$1,28127257-5.1%
Ohio$204$1,0604025,382-6.1%
Texas$203$1,7726916,636-6.5%
Montana$200$81137775-7.9%
Minnesota$193$1,8611842,297-10.8%
Pennsylvania$191$1,3674606,635-12.0%
South Carolina$191$1,4671472,765-12.1%
Idaho$188$80552695-13.1%
Michigan$181$1,0483053,872-16.6%
New York$178$1,7786526,181-18.0%
Arkansas$176$1,160541,372-18.6%
Massachusetts$175$1,7442763,398-19.0%
North Carolina$171$1,6223183,736-20.9%
Wisconsin$165$3,1521852,464-24.0%
Kentucky$163$1,2041071,761-24.7%
New Mexico$163$1,41137327-24.9%
Washington$161$8402092,505-25.9%
Alabama$156$1,0901411,667-28.0%
South Dakota$152$1,66925686-29.7%
Louisiana$152$1,3081651,919-30.0%
New Hampshire$142$2,25458754-34.3%
Rhode Island$142$90136363-34.4%
Connecticut$142$1,8591231,293-34.4%
District of Columbia$137$1,98133353-37.0%
Oklahoma$136$1,0841052,278-37.2%
West Virginia$134$97650775-38.0%
Maine$132$78550554-39.3%
Vermont$130$1,97625360-39.8%
North Dakota$128$1,73316381-41.0%

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

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