52601

Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope

Medicare pricing data for 6,812 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $657 in Arkansas to $1,340 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

Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope (HCPCS code 52601) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $843.03, but hospitals typically charge $3,125 — a 3.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$168.61

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $843.03, your out-of-pocket cost would be approximately $168.61. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$843.03
Average Hospital Charge
$3,125
Markup Ratio
3.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$3,124.52
Medicare Allowed$843.03
Medicare Payment$668.18

Hospitals charge 3.7x more than what Medicare allows for this procedure. Medicare actually pays $668.18 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Maryland$1,340$3,5881391,258+59.0%
Alaska$1,165$11,62018140+38.1%
Colorado$1,067$4,214122966+26.6%
Arizona$927$3,5341581,334+9.9%
Nevada$910$3,14339465+7.9%
Wyoming$909$2,82613105+7.8%
New Jersey$908$4,4772551,319+7.7%
Florida$893$3,4515844,002+5.9%
Tennessee$889$2,7951411,081+5.4%
California$888$3,3376193,749+5.4%
Mississippi$882$2,73062646+4.6%
Oregon$881$3,09090630+4.5%
Hawaii$873$2,57420100+3.6%
Idaho$867$2,18940266+2.9%
Illinois$852$4,4322561,454+1.0%
Virginia$851$2,840143730+0.9%
New York$826$3,2694592,138-2.0%
Delaware$822$2,42621119-2.5%
Massachusetts$819$3,097175931-2.8%
Utah$818$2,88954623-2.9%
Georgia$815$2,8542131,389-3.4%
Texas$814$2,7624953,010-3.4%
Montana$812$2,54632259-3.6%
New Mexico$806$2,68529202-4.3%
Ohio$804$2,7602541,299-4.7%
Washington$799$2,2761421,047-5.2%
Missouri$799$2,989137838-5.3%
District of Columbia$790$2,67026136-6.3%
Pennsylvania$789$2,5062931,463-6.4%
Puerto Rico$789$1,0062743-6.5%
Iowa$784$2,91258443-7.0%
New Hampshire$774$3,36733230-8.2%
Michigan$770$2,038192981-8.7%
Louisiana$758$2,694110595-10.1%
Connecticut$758$3,22887424-10.1%
Indiana$754$2,933152827-10.6%
Rhode Island$751$2,0352592-10.9%
Alabama$742$2,32298443-12.0%
Oklahoma$741$2,33577487-12.2%
South Carolina$730$2,6131161,103-13.4%
Minnesota$721$3,788103556-14.5%
Kentucky$713$2,03173446-15.4%
North Carolina$706$2,4012231,243-16.2%
Kansas$700$2,26664509-17.0%
Vermont$697$2,7891766-17.3%
Nebraska$696$2,64750474-17.4%
Wisconsin$693$6,901103419-17.8%
North Dakota$688$2,9731064-18.3%
Maine$686$2,0902568-18.6%
West Virginia$684$2,18632175-18.8%
South Dakota$680$2,62120169-19.3%
Arkansas$657$2,00147399-22.0%

⚠️ 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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