Crushing of stone of ureter with insertion of stent using an endoscope
Medicare pricing data for 8,178 providers across 52 states
Prices vary significantly by location — from $387 in South Dakota to $1,058 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
Crushing of stone of ureter with insertion of stent using an endoscope (HCPCS code 52356) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $617.28, but hospitals typically charge $2,813 — a 4.6x 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 $617.28, your out-of-pocket cost would be approximately $123.46. 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 4.6x more than what Medicare allows for this procedure. Medicare actually pays $489.18 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Maryland | $1,058 | $4,922 | 170 | 3,151 | +71.3% |
| Alaska | $995 | $12,673 | 21 | 298 | +61.1% |
| Colorado | $825 | $5,437 | 159 | 1,581 | +33.7% |
| Virginia | $793 | $3,009 | 197 | 3,353 | +28.4% |
| Oregon | $784 | $2,981 | 105 | 1,397 | +27.0% |
| Iowa | $765 | $3,245 | 78 | 1,327 | +23.9% |
| California | $734 | $3,154 | 679 | 5,849 | +18.9% |
| Mississippi | $732 | $2,495 | 68 | 1,301 | +18.6% |
| Wyoming | $713 | $3,605 | 14 | 219 | +15.5% |
| Delaware | $693 | $2,894 | 31 | 418 | +12.3% |
| Tennessee | $682 | $2,500 | 184 | 3,208 | +10.6% |
| New Jersey | $671 | $3,894 | 302 | 3,081 | +8.8% |
| Idaho | $658 | $1,568 | 44 | 611 | +6.6% |
| Missouri | $649 | $3,074 | 170 | 1,992 | +5.2% |
| Texas | $637 | $3,067 | 572 | 5,387 | +3.1% |
| Utah | $635 | $2,400 | 69 | 852 | +2.8% |
| Florida | $633 | $2,691 | 629 | 6,811 | +2.5% |
| Nevada | $628 | $3,296 | 42 | 608 | +1.8% |
| Indiana | $628 | $4,183 | 210 | 2,818 | +1.8% |
| Hawaii | $622 | $2,179 | 27 | 213 | +0.7% |
| Kansas | $595 | $2,885 | 81 | 1,404 | -3.6% |
| Georgia | $594 | $2,626 | 249 | 2,749 | -3.7% |
| Illinois | $594 | $3,152 | 312 | 3,857 | -3.8% |
| Nebraska | $591 | $2,275 | 51 | 805 | -4.3% |
| Puerto Rico | $586 | $1,113 | 15 | 23 | -5.1% |
| Arizona | $580 | $3,175 | 174 | 2,047 | -6.0% |
| Minnesota | $567 | $3,428 | 162 | 1,368 | -8.1% |
| Pennsylvania | $553 | $2,076 | 383 | 4,441 | -10.4% |
| South Carolina | $552 | $2,689 | 137 | 2,182 | -10.6% |
| Ohio | $551 | $1,987 | 334 | 4,019 | -10.7% |
| New York | $544 | $2,248 | 489 | 4,254 | -11.8% |
| Washington | $516 | $1,548 | 181 | 2,062 | -16.5% |
| Alabama | $513 | $2,147 | 124 | 1,276 | -16.9% |
| North Carolina | $511 | $1,860 | 276 | 3,044 | -17.3% |
| Wisconsin | $506 | $5,664 | 152 | 1,780 | -18.0% |
| Kentucky | $501 | $1,633 | 89 | 1,277 | -18.9% |
| Montana | $496 | $1,567 | 34 | 477 | -19.6% |
| Massachusetts | $496 | $1,935 | 210 | 2,468 | -19.7% |
| Connecticut | $488 | $2,709 | 104 | 1,007 | -20.9% |
| Arkansas | $482 | $1,412 | 51 | 837 | -21.9% |
| New Hampshire | $464 | $3,662 | 48 | 538 | -24.8% |
| District of Columbia | $456 | $2,328 | 25 | 263 | -26.2% |
| Michigan | $455 | $1,505 | 242 | 2,390 | -26.3% |
| New Mexico | $434 | $1,467 | 33 | 350 | -29.6% |
| Louisiana | $426 | $1,606 | 134 | 1,102 | -31.0% |
| Rhode Island | $423 | $1,213 | 29 | 262 | -31.5% |
| Oklahoma | $414 | $1,229 | 96 | 1,205 | -33.0% |
| North Dakota | $404 | $1,675 | 14 | 281 | -34.6% |
| Vermont | $399 | $2,050 | 20 | 240 | -35.4% |
| West Virginia | $397 | $1,410 | 40 | 505 | -35.7% |
| Maine | $395 | $1,146 | 46 | 383 | -36.0% |
| South Dakota | $387 | $1,985 | 23 | 368 | -37.2% |
⚠️ 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