52235

Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm

Medicare pricing data for 7,355 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $257 in North Dakota to $673 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

Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm (HCPCS code 52235) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $409.04, but hospitals typically charge $1,899 — a 4.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$81.81

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $409.04, your out-of-pocket cost would be approximately $81.81. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$409.04
Average Hospital Charge
$1,899
Markup Ratio
4.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,898.83
Medicare Allowed$409.04
Medicare Payment$323.07

Hospitals charge 4.6x more than what Medicare allows for this procedure. Medicare actually pays $323.07 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Maryland$673$2,1851641,307+64.5%
Alaska$598$8,9671995+46.2%
Colorado$539$2,443130523+31.9%
Oregon$520$1,91386434+27.2%
New Jersey$520$3,6312861,363+27.1%
Mississippi$519$1,79662375+26.8%
Wyoming$509$2,7241372+24.4%
Florida$497$2,2106163,462+21.6%
Hawaii$482$1,6242077+17.7%
Delaware$475$2,15326190+16.2%
California$455$2,1525962,617+11.2%
Iowa$442$1,50067330+8.0%
Virginia$442$1,5961771,025+8.0%
Utah$433$1,95252228+5.8%
Tennessee$432$1,617165920+5.6%
Nevada$420$2,26639232+2.6%
Arizona$415$2,170162897+1.3%
Georgia$408$1,808215926-0.2%
Texas$401$2,1004801,961-2.0%
South Carolina$393$1,560127824-3.8%
Illinois$393$2,0872851,648-3.9%
Indiana$391$2,570174953-4.5%
Missouri$385$1,638149731-6.0%
Nebraska$365$1,49846225-10.8%
Kansas$361$1,57870424-11.8%
New York$361$1,6894732,020-11.8%
Ohio$359$1,3753031,310-12.3%
Puerto Rico$351$5051720-14.1%
Pennsylvania$351$1,5023611,639-14.2%
Alabama$349$1,290101420-14.8%
Montana$348$1,05430145-15.0%
Michigan$342$1,225224975-16.4%
New Mexico$340$1,4922689-16.8%
Minnesota$340$1,883130519-16.9%
Washington$335$1,018152832-18.0%
Idaho$333$1,00233177-18.7%
Massachusetts$331$1,6152021,119-19.0%
North Carolina$329$1,331230963-19.7%
Louisiana$319$1,495114387-22.1%
Kentucky$314$1,04381359-23.3%
Wisconsin$312$3,331128551-23.7%
District of Columbia$307$1,69119154-24.9%
Connecticut$304$1,558101482-25.7%
New Hampshire$304$2,74744217-25.7%
Rhode Island$298$83229117-27.2%
Arkansas$279$86951295-31.7%
Oklahoma$268$82493433-34.4%
Maine$266$79041141-35.0%
Vermont$264$1,65120112-35.4%
South Dakota$260$1,57522142-36.4%
West Virginia$260$1,00633161-36.4%
North Dakota$257$1,17912108-37.3%

⚠️ 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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💊 Need post-procedure medications? Check costs on OpenPrescriber