52287

Exam with injections of chemical for destruction of bladder using an endoscope

Medicare pricing data for 7,545 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $159 in Vermont to $461 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

Exam with injections of chemical for destruction of bladder using an endoscope (HCPCS code 52287) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $344.83, but hospitals typically charge $1,411 — a 4.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$68.97

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $344.83, your out-of-pocket cost would be approximately $68.97. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$344.83
Average Hospital Charge
$1,411
Markup Ratio
4.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,410.53
Medicare Allowed$344.83
Medicare Payment$269.58

Hospitals charge 4.1x more than what Medicare allows for this procedure. Medicare actually pays $269.58 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Maryland$461$1,9201593,550+33.7%
Alaska$437$3,3071251+26.6%
New Jersey$422$2,2062522,002+22.2%
Nebraska$411$2,052651,403+19.2%
Nevada$402$1,23655623+16.6%
Wyoming$399$2,40914127+15.8%
District of Columbia$397$1,27534415+15.2%
Puerto Rico$391$507513+13.3%
California$383$1,4416347,078+11.0%
Oregon$383$1,3701151,105+11.0%
Georgia$379$1,5162221,862+10.0%
Delaware$378$1,91832384+9.7%
Florida$377$1,7385485,005+9.2%
Colorado$372$1,7371491,150+7.8%
Arizona$370$1,4021751,724+7.2%
Washington$369$1,1011772,414+7.1%
New York$368$1,6494053,583+6.7%
Pennsylvania$358$9953213,284+3.7%
Mississippi$350$1,16558738+1.5%
Connecticut$350$1,35589818+1.4%
Texas$346$1,6164764,287+0.3%
Virginia$345$1,3631781,688-0.0%
Tennessee$336$1,2551762,027-2.6%
South Carolina$333$1,7241311,920-3.4%
Illinois$333$1,4113313,353-3.5%
Missouri$318$1,1371881,986-7.7%
Massachusetts$316$1,0682112,183-8.3%
North Carolina$316$1,3162592,155-8.4%
Hawaii$315$9711572-8.5%
Arkansas$315$98866767-8.6%
Idaho$312$81943648-9.5%
Indiana$311$1,8141671,394-9.7%
Minnesota$307$1,4781371,148-10.9%
Kentucky$304$1,11386721-11.9%
Kansas$300$1,36783951-12.9%
Utah$297$84862575-14.0%
Ohio$293$1,0673513,471-15.0%
Michigan$292$1,0022502,127-15.3%
Iowa$291$1,15366741-15.6%
Alabama$291$749119819-15.7%
New Hampshire$263$1,42134465-23.8%
New Mexico$260$1,01926161-24.6%
Wisconsin$255$2,1911641,616-26.1%
South Dakota$255$870241,076-26.2%
Oklahoma$253$70186655-26.8%
Rhode Island$245$93525163-29.1%
Louisiana$224$722116781-35.0%
Montana$214$45542538-37.9%
North Dakota$190$76811147-45.0%
Maine$184$70044337-46.8%
West Virginia$177$66335209-48.7%
Vermont$159$90113142-53.9%

⚠️ 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