Removal or manipulation of stone in ureter or kidney using an endoscope
Medicare pricing data for 5,324 providers across 51 states
This procedure has a 5.7x markup — hospitals charge $2,050 but Medicare allows only $358.22. Uninsured patients may face bills 5.7 times higher than what insurance negotiates. Prices vary significantly by location — from $189 in District of Columbia to $590 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
Removal or manipulation of stone in ureter or kidney using an endoscope (HCPCS code 52352) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $358.22, but hospitals typically charge $2,050 — a 5.7x 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 $358.22, your out-of-pocket cost would be approximately $71.64. 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 5.7x more than what Medicare allows for this procedure. Medicare actually pays $283.64 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $590 | $8,143 | 16 | 43 | +64.7% |
| Delaware | $483 | $2,672 | 23 | 63 | +34.9% |
| Oregon | $480 | $1,936 | 67 | 199 | +34.1% |
| Mississippi | $473 | $2,226 | 55 | 386 | +32.0% |
| Idaho | $458 | $1,258 | 32 | 138 | +28.0% |
| Wyoming | $454 | $2,033 | 10 | 70 | +26.6% |
| Tennessee | $450 | $2,174 | 138 | 613 | +25.5% |
| Iowa | $421 | $1,602 | 59 | 247 | +17.6% |
| Maryland | $411 | $1,948 | 99 | 1,109 | +14.8% |
| Colorado | $408 | $3,080 | 96 | 279 | +14.0% |
| Georgia | $408 | $2,260 | 149 | 513 | +14.0% |
| Missouri | $399 | $2,376 | 121 | 526 | +11.3% |
| Texas | $388 | $1,967 | 343 | 1,060 | +8.3% |
| Indiana | $387 | $2,408 | 160 | 749 | +8.1% |
| Nebraska | $386 | $1,845 | 45 | 245 | +7.7% |
| Nevada | $383 | $1,528 | 28 | 83 | +6.8% |
| Minnesota | $381 | $2,549 | 103 | 304 | +6.5% |
| Illinois | $381 | $2,881 | 226 | 991 | +6.2% |
| Ohio | $380 | $1,554 | 210 | 857 | +6.1% |
| Montana | $379 | $1,411 | 27 | 138 | +5.9% |
| Florida | $377 | $1,842 | 373 | 1,311 | +5.3% |
| Kansas | $376 | $2,308 | 57 | 316 | +5.1% |
| Utah | $375 | $1,839 | 50 | 236 | +4.6% |
| Pennsylvania | $356 | $1,582 | 247 | 826 | -0.5% |
| South Carolina | $355 | $2,129 | 112 | 539 | -0.9% |
| Virginia | $342 | $1,501 | 119 | 503 | -4.7% |
| Rhode Island | $341 | $1,072 | 13 | 31 | -4.7% |
| New Jersey | $339 | $4,765 | 200 | 816 | -5.4% |
| Wisconsin | $332 | $4,706 | 104 | 309 | -7.4% |
| California | $328 | $2,323 | 329 | 1,132 | -8.5% |
| North Carolina | $327 | $1,439 | 185 | 615 | -8.8% |
| New Mexico | $324 | $1,137 | 18 | 40 | -9.4% |
| Connecticut | $322 | $2,063 | 82 | 213 | -10.2% |
| Louisiana | $318 | $1,272 | 86 | 283 | -11.3% |
| Arizona | $314 | $1,621 | 107 | 364 | -12.4% |
| New York | $312 | $1,916 | 288 | 802 | -13.0% |
| North Dakota | $309 | $1,537 | 11 | 65 | -13.9% |
| West Virginia | $307 | $1,292 | 28 | 97 | -14.2% |
| New Hampshire | $299 | $2,847 | 36 | 94 | -16.4% |
| Washington | $293 | $1,087 | 108 | 315 | -18.1% |
| Kentucky | $290 | $1,158 | 68 | 289 | -18.9% |
| Oklahoma | $288 | $1,058 | 77 | 390 | -19.7% |
| Arkansas | $287 | $928 | 46 | 195 | -19.8% |
| Vermont | $283 | $1,518 | 19 | 47 | -20.9% |
| Alabama | $280 | $1,395 | 91 | 370 | -22.0% |
| Maine | $278 | $930 | 23 | 57 | -22.4% |
| Michigan | $278 | $1,082 | 176 | 656 | -22.4% |
| Hawaii | $276 | $904 | 17 | 36 | -23.0% |
| South Dakota | $269 | $1,119 | 20 | 100 | -25.0% |
| Massachusetts | $240 | $1,367 | 131 | 571 | -33.0% |
| District of Columbia | $189 | $1,468 | 11 | 54 | -47.3% |
⚠️ 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