Insertion of implant in urethra within prostate gland using an endoscope, 1 implant
Medicare pricing data for 3,073 providers across 51 states
This procedure has a 5.3x markup — hospitals charge $2,620 but Medicare allows only $495.29. Uninsured patients may face bills 5.3 times higher than what insurance negotiates. Prices vary significantly by location — from $180 in Arkansas to $1,375 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
Insertion of implant in urethra within prostate gland using an endoscope, 1 implant (HCPCS code 52441) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $495.29, but hospitals typically charge $2,620 — a 5.3x 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 $495.29, your out-of-pocket cost would be approximately $99.06. 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 5.3x more than what Medicare allows for this procedure. Medicare actually pays $391.04 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $1,375 | $5,695 | 2 | 27 | +177.6% |
| California | $911 | $3,034 | 286 | 1,726 | +83.9% |
| New Jersey | $864 | $6,202 | 126 | 766 | +74.4% |
| Nevada | $777 | $3,181 | 22 | 85 | +56.9% |
| New York | $766 | $3,723 | 191 | 763 | +54.6% |
| Connecticut | $738 | $3,139 | 22 | 93 | +49.0% |
| Iowa | $734 | $2,936 | 43 | 230 | +48.2% |
| Illinois | $717 | $3,583 | 99 | 635 | +44.8% |
| Utah | $703 | $2,451 | 16 | 97 | +42.0% |
| Texas | $648 | $2,297 | 199 | 1,188 | +30.8% |
| Oregon | $641 | $3,247 | 36 | 224 | +29.5% |
| Arizona | $625 | $2,711 | 127 | 880 | +26.3% |
| New Hampshire | $604 | $1,788 | 13 | 108 | +21.9% |
| Wisconsin | $603 | $6,948 | 46 | 187 | +21.8% |
| North Carolina | $586 | $2,552 | 96 | 545 | +18.3% |
| Michigan | $586 | $1,840 | 98 | 469 | +18.3% |
| Minnesota | $552 | $4,188 | 28 | 72 | +11.4% |
| Washington | $543 | $1,841 | 55 | 561 | +9.7% |
| Louisiana | $505 | $2,917 | 49 | 302 | +2.0% |
| Delaware | $475 | $1,263 | 15 | 82 | -4.0% |
| Indiana | $463 | $2,982 | 71 | 462 | -6.5% |
| Colorado | $450 | $3,197 | 45 | 386 | -9.1% |
| Tennessee | $439 | $2,377 | 106 | 672 | -11.3% |
| Massachusetts | $432 | $2,387 | 56 | 223 | -12.7% |
| Nebraska | $361 | $1,381 | 32 | 267 | -27.2% |
| South Carolina | $333 | $2,128 | 62 | 544 | -32.8% |
| Kansas | $313 | $2,125 | 35 | 215 | -36.9% |
| Georgia | $309 | $1,877 | 120 | 812 | -37.7% |
| Florida | $307 | $1,783 | 251 | 1,819 | -37.9% |
| Ohio | $305 | $1,815 | 130 | 731 | -38.4% |
| Missouri | $283 | $2,081 | 68 | 341 | -42.9% |
| Oklahoma | $274 | $940 | 31 | 258 | -44.8% |
| Kentucky | $263 | $1,316 | 40 | 213 | -47.0% |
| Virginia | $248 | $1,392 | 53 | 536 | -49.9% |
| Pennsylvania | $234 | $1,772 | 130 | 843 | -52.7% |
| Mississippi | $218 | $2,623 | 39 | 452 | -56.1% |
| Maryland | $217 | $4,449 | 79 | 765 | -56.2% |
| District of Columbia | $215 | $2,442 | 4 | 43 | -56.6% |
| Rhode Island | $207 | $1,491 | 5 | 13 | -58.3% |
| New Mexico | $203 | $2,332 | 6 | 19 | -59.0% |
| Montana | $203 | $653 | 11 | 73 | -59.1% |
| Wyoming | $200 | $1,897 | 5 | 36 | -59.7% |
| North Dakota | $199 | $2,306 | 4 | 31 | -59.7% |
| Hawaii | $197 | $1,311 | 8 | 55 | -60.1% |
| Alabama | $191 | $936 | 31 | 138 | -61.4% |
| South Dakota | $188 | $2,464 | 9 | 48 | -62.0% |
| Maine | $188 | $459 | 4 | 19 | -62.0% |
| West Virginia | $187 | $1,426 | 13 | 59 | -62.3% |
| Idaho | $186 | $934 | 17 | 110 | -62.4% |
| Vermont | $184 | $2,561 | 4 | 54 | -62.9% |
| Arkansas | $180 | $2,483 | 21 | 105 | -63.6% |
⚠️ 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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