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
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
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.
What Hospitals Charge vs. What Medicare Pays
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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Maryland | $673 | $2,185 | 164 | 1,307 | +64.5% |
| Alaska | $598 | $8,967 | 19 | 95 | +46.2% |
| Colorado | $539 | $2,443 | 130 | 523 | +31.9% |
| Oregon | $520 | $1,913 | 86 | 434 | +27.2% |
| New Jersey | $520 | $3,631 | 286 | 1,363 | +27.1% |
| Mississippi | $519 | $1,796 | 62 | 375 | +26.8% |
| Wyoming | $509 | $2,724 | 13 | 72 | +24.4% |
| Florida | $497 | $2,210 | 616 | 3,462 | +21.6% |
| Hawaii | $482 | $1,624 | 20 | 77 | +17.7% |
| Delaware | $475 | $2,153 | 26 | 190 | +16.2% |
| California | $455 | $2,152 | 596 | 2,617 | +11.2% |
| Iowa | $442 | $1,500 | 67 | 330 | +8.0% |
| Virginia | $442 | $1,596 | 177 | 1,025 | +8.0% |
| Utah | $433 | $1,952 | 52 | 228 | +5.8% |
| Tennessee | $432 | $1,617 | 165 | 920 | +5.6% |
| Nevada | $420 | $2,266 | 39 | 232 | +2.6% |
| Arizona | $415 | $2,170 | 162 | 897 | +1.3% |
| Georgia | $408 | $1,808 | 215 | 926 | -0.2% |
| Texas | $401 | $2,100 | 480 | 1,961 | -2.0% |
| South Carolina | $393 | $1,560 | 127 | 824 | -3.8% |
| Illinois | $393 | $2,087 | 285 | 1,648 | -3.9% |
| Indiana | $391 | $2,570 | 174 | 953 | -4.5% |
| Missouri | $385 | $1,638 | 149 | 731 | -6.0% |
| Nebraska | $365 | $1,498 | 46 | 225 | -10.8% |
| Kansas | $361 | $1,578 | 70 | 424 | -11.8% |
| New York | $361 | $1,689 | 473 | 2,020 | -11.8% |
| Ohio | $359 | $1,375 | 303 | 1,310 | -12.3% |
| Puerto Rico | $351 | $505 | 17 | 20 | -14.1% |
| Pennsylvania | $351 | $1,502 | 361 | 1,639 | -14.2% |
| Alabama | $349 | $1,290 | 101 | 420 | -14.8% |
| Montana | $348 | $1,054 | 30 | 145 | -15.0% |
| Michigan | $342 | $1,225 | 224 | 975 | -16.4% |
| New Mexico | $340 | $1,492 | 26 | 89 | -16.8% |
| Minnesota | $340 | $1,883 | 130 | 519 | -16.9% |
| Washington | $335 | $1,018 | 152 | 832 | -18.0% |
| Idaho | $333 | $1,002 | 33 | 177 | -18.7% |
| Massachusetts | $331 | $1,615 | 202 | 1,119 | -19.0% |
| North Carolina | $329 | $1,331 | 230 | 963 | -19.7% |
| Louisiana | $319 | $1,495 | 114 | 387 | -22.1% |
| Kentucky | $314 | $1,043 | 81 | 359 | -23.3% |
| Wisconsin | $312 | $3,331 | 128 | 551 | -23.7% |
| District of Columbia | $307 | $1,691 | 19 | 154 | -24.9% |
| Connecticut | $304 | $1,558 | 101 | 482 | -25.7% |
| New Hampshire | $304 | $2,747 | 44 | 217 | -25.7% |
| Rhode Island | $298 | $832 | 29 | 117 | -27.2% |
| Arkansas | $279 | $869 | 51 | 295 | -31.7% |
| Oklahoma | $268 | $824 | 93 | 433 | -34.4% |
| Maine | $266 | $790 | 41 | 141 | -35.0% |
| Vermont | $264 | $1,651 | 20 | 112 | -35.4% |
| South Dakota | $260 | $1,575 | 22 | 142 | -36.4% |
| West Virginia | $260 | $1,006 | 33 | 161 | -36.4% |
| North Dakota | $257 | $1,179 | 12 | 108 | -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.
💊 Need post-procedure medications? Check costs on OpenPrescriber