Diagnostic exam of bladder, urethra, and ureter or kidney using an endoscope
Medicare pricing data for 6,516 providers across 51 states
Prices vary significantly by location — from $260 in Arkansas to $643 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
Diagnostic exam of bladder, urethra, and ureter or kidney using an endoscope (HCPCS code 52351) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $396.58, but hospitals typically charge $1,649 — a 4.2x 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 $396.58, your out-of-pocket cost would be approximately $79.32. 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 4.2x more than what Medicare allows for this procedure. Medicare actually pays $313.60 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Maryland | $643 | $1,805 | 154 | 834 | +62.1% |
| Alaska | $563 | $5,489 | 17 | 49 | +42.0% |
| Delaware | $532 | $2,705 | 24 | 115 | +34.1% |
| Mississippi | $528 | $1,753 | 58 | 334 | +33.2% |
| Tennessee | $497 | $1,694 | 170 | 1,194 | +25.4% |
| Virginia | $491 | $1,594 | 169 | 900 | +23.9% |
| Georgia | $490 | $1,945 | 217 | 808 | +23.6% |
| Nevada | $479 | $1,710 | 34 | 105 | +20.7% |
| Wyoming | $475 | $2,021 | 10 | 29 | +19.7% |
| Colorado | $470 | $3,329 | 115 | 345 | +18.4% |
| Oregon | $469 | $1,625 | 92 | 288 | +18.4% |
| New Jersey | $466 | $3,014 | 231 | 764 | +17.5% |
| Florida | $439 | $1,801 | 496 | 1,792 | +10.8% |
| Missouri | $432 | $1,683 | 132 | 473 | +9.0% |
| Idaho | $416 | $1,039 | 31 | 88 | +5.0% |
| California | $410 | $1,891 | 484 | 1,461 | +3.4% |
| Iowa | $400 | $1,255 | 54 | 261 | +0.9% |
| Texas | $387 | $1,774 | 415 | 1,180 | -2.3% |
| Arizona | $386 | $1,730 | 129 | 418 | -2.7% |
| Ohio | $378 | $1,327 | 292 | 1,305 | -4.6% |
| Illinois | $364 | $1,892 | 264 | 1,067 | -8.2% |
| New York | $363 | $1,517 | 380 | 1,224 | -8.4% |
| Nebraska | $352 | $1,376 | 47 | 191 | -11.2% |
| Wisconsin | $351 | $3,374 | 130 | 419 | -11.4% |
| Utah | $350 | $1,092 | 48 | 114 | -11.7% |
| Indiana | $343 | $1,619 | 164 | 688 | -13.5% |
| Pennsylvania | $343 | $1,237 | 317 | 1,080 | -13.6% |
| Massachusetts | $339 | $1,300 | 172 | 537 | -14.6% |
| South Carolina | $334 | $1,634 | 127 | 669 | -15.7% |
| Montana | $334 | $1,186 | 29 | 111 | -15.8% |
| Kansas | $327 | $1,377 | 65 | 272 | -17.5% |
| Washington | $325 | $921 | 139 | 482 | -17.9% |
| Rhode Island | $324 | $831 | 22 | 57 | -18.2% |
| Connecticut | $324 | $1,659 | 91 | 254 | -18.3% |
| Alabama | $324 | $1,083 | 92 | 264 | -18.3% |
| Michigan | $314 | $997 | 204 | 694 | -20.9% |
| North Carolina | $311 | $1,209 | 223 | 636 | -21.5% |
| Hawaii | $308 | $950 | 17 | 30 | -22.3% |
| Kentucky | $305 | $980 | 71 | 330 | -23.2% |
| Minnesota | $297 | $1,694 | 106 | 275 | -25.1% |
| Oklahoma | $291 | $920 | 77 | 306 | -26.6% |
| Louisiana | $281 | $850 | 103 | 262 | -29.1% |
| New Mexico | $279 | $850 | 21 | 72 | -29.7% |
| New Hampshire | $273 | $1,569 | 41 | 126 | -31.1% |
| West Virginia | $273 | $1,121 | 32 | 142 | -31.1% |
| South Dakota | $272 | $1,026 | 18 | 92 | -31.3% |
| Vermont | $271 | $1,531 | 18 | 53 | -31.6% |
| North Dakota | $266 | $1,029 | 13 | 28 | -32.8% |
| Maine | $264 | $830 | 28 | 70 | -33.4% |
| District of Columbia | $260 | $998 | 19 | 118 | -34.4% |
| Arkansas | $260 | $828 | 42 | 185 | -34.5% |
⚠️ 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