51702

Simple insertion of temporary bladder tube

Medicare pricing data for 26,606 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $28 in North Dakota to $61 in California. 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 insertion of temporary bladder tube (HCPCS code 51702) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $53.01, but hospitals typically charge $231.51 — a 4.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$10.60

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $53.01, your out-of-pocket cost would be approximately $10.60. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$53.01
Average Hospital Charge
$231.51
Markup Ratio
4.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$231.51
Medicare Allowed$53.01
Medicare Payment$39.66

Hospitals charge 4.4x more than what Medicare allows for this procedure. Medicare actually pays $39.66 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$61$2552,22218,139+15.1%
New Jersey$61$3538937,712+15.1%
New York$59$2772,07921,029+10.4%
Connecticut$58$2584043,949+10.3%
Massachusetts$57$2436586,833+7.5%
Maryland$57$1655405,084+6.9%
Alaska$56$528111719+5.8%
Nevada$56$1812001,946+5.5%
Colorado$56$1724573,552+4.7%
Florida$55$1951,80914,465+3.1%
Illinois$54$3331,08810,894+2.5%
Rhode Island$54$16883639+2.4%
Wyoming$54$14673551+2.2%
Arizona$54$1935315,208+1.5%
Washington$54$1826327,612+1.0%
Minnesota$53$2825854,026+0.4%
Virginia$53$1837107,939+0.3%
Oregon$53$2043153,200-0.8%
Texas$52$2151,56411,539-1.3%
Georgia$52$2057056,348-1.5%
Utah$52$1631361,839-1.7%
Hawaii$52$16658243-1.8%
Pennsylvania$52$1831,43010,988-1.8%
District of Columbia$52$17487697-1.9%
New Hampshire$52$2531521,242-2.6%
Tennessee$51$1765044,252-4.3%
Delaware$51$170951,162-4.6%
Indiana$50$2196415,768-4.8%
Oklahoma$50$1593122,247-6.3%
Missouri$50$2224913,769-6.4%
Michigan$49$1947904,845-6.8%
Nebraska$49$2151581,569-8.0%
North Carolina$49$2138536,460-8.0%
Wisconsin$47$5886034,807-10.5%
Kansas$47$1782322,396-10.7%
South Carolina$47$2055313,805-10.7%
Iowa$47$2262612,771-11.8%
Mississippi$47$2162081,761-12.2%
Kentucky$45$1673061,564-16.0%
Arkansas$44$1772161,822-16.1%
Ohio$44$1771,0886,808-16.2%
Alabama$44$1703071,712-17.1%
South Dakota$44$2861221,169-17.6%
Idaho$43$1321311,078-18.4%
Montana$42$1441391,260-20.7%
New Mexico$42$1531521,932-20.8%
Louisiana$42$1993711,840-20.8%
Maine$38$122120777-28.6%
West Virginia$36$155147518-32.8%
Vermont$29$11134226-44.9%
Puerto Rico$28$63132379-46.4%
North Dakota$28$286123939-47.5%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber