Simple bladder irrigation and/or instillation
Medicare pricing data for 13,767 providers across 51 states
Prices vary significantly by location — from $30 in North Dakota to $77 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
Simple bladder irrigation and/or instillation (HCPCS code 51700) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $62.34, but hospitals typically charge $264.49 — 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 $62.34, your out-of-pocket cost would be approximately $12.47. 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 $48.17 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $77 | $1,020 | 53 | 667 | +23.7% |
| California | $74 | $258 | 1,141 | 24,439 | +18.4% |
| District of Columbia | $73 | $223 | 54 | 456 | +16.7% |
| New Jersey | $68 | $325 | 437 | 4,539 | +9.2% |
| New York | $68 | $405 | 874 | 8,757 | +8.7% |
| Rhode Island | $67 | $149 | 53 | 424 | +7.9% |
| Massachusetts | $67 | $273 | 375 | 3,898 | +7.9% |
| Nevada | $67 | $233 | 108 | 1,890 | +7.3% |
| Connecticut | $67 | $270 | 176 | 1,471 | +7.1% |
| Virginia | $67 | $232 | 378 | 5,040 | +6.9% |
| Colorado | $66 | $215 | 254 | 2,342 | +6.7% |
| Hawaii | $65 | $192 | 34 | 161 | +4.8% |
| Wyoming | $65 | $206 | 20 | 107 | +4.7% |
| Minnesota | $64 | $301 | 239 | 1,721 | +3.1% |
| Arizona | $64 | $483 | 373 | 6,418 | +3.0% |
| Texas | $64 | $224 | 874 | 10,875 | +2.9% |
| Washington | $64 | $213 | 292 | 2,463 | +2.8% |
| Georgia | $64 | $239 | 426 | 4,734 | +1.9% |
| Oklahoma | $63 | $182 | 143 | 2,224 | +1.8% |
| Pennsylvania | $61 | $228 | 683 | 8,510 | -2.0% |
| Indiana | $61 | $238 | 362 | 3,677 | -2.8% |
| Nebraska | $61 | $213 | 86 | 846 | -3.0% |
| Utah | $60 | $241 | 119 | 1,063 | -3.5% |
| Alabama | $60 | $145 | 156 | 1,795 | -3.8% |
| North Carolina | $60 | $226 | 452 | 4,663 | -3.8% |
| Missouri | $60 | $267 | 266 | 2,947 | -4.0% |
| New Hampshire | $60 | $219 | 82 | 598 | -4.6% |
| Florida | $59 | $222 | 1,051 | 17,153 | -5.1% |
| Illinois | $59 | $346 | 593 | 6,819 | -5.5% |
| Michigan | $59 | $177 | 421 | 3,829 | -5.5% |
| Oregon | $58 | $232 | 171 | 1,311 | -6.2% |
| Mississippi | $58 | $234 | 109 | 2,190 | -6.6% |
| Tennessee | $57 | $202 | 313 | 5,018 | -8.4% |
| Kentucky | $56 | $216 | 163 | 2,254 | -9.6% |
| Ohio | $55 | $209 | 511 | 4,350 | -11.0% |
| Louisiana | $55 | $217 | 183 | 1,688 | -11.3% |
| Kansas | $55 | $208 | 118 | 1,772 | -11.4% |
| Arkansas | $54 | $205 | 116 | 1,447 | -12.6% |
| South Carolina | $54 | $225 | 266 | 3,180 | -12.8% |
| Wisconsin | $54 | $509 | 301 | 2,475 | -13.1% |
| New Mexico | $53 | $177 | 67 | 631 | -14.4% |
| West Virginia | $50 | $225 | 38 | 169 | -19.1% |
| Idaho | $50 | $149 | 75 | 651 | -19.2% |
| Delaware | $48 | $179 | 52 | 547 | -23.2% |
| Iowa | $48 | $316 | 134 | 1,559 | -23.8% |
| Maryland | $47 | $288 | 309 | 6,403 | -24.5% |
| Vermont | $46 | $222 | 21 | 111 | -25.5% |
| South Dakota | $44 | $190 | 74 | 659 | -29.8% |
| Montana | $35 | $117 | 49 | 311 | -43.8% |
| Maine | $32 | $126 | 76 | 248 | -48.1% |
| North Dakota | $30 | $205 | 27 | 179 | -51.2% |
⚠️ 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