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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Procedures
  3. 52000
  4. Cost Analysis

How Much Does Diagnostic exam of bladder and urethra using an endoscope Cost on Medicare?

Cost analysis for CPT 52000 — Diagnostic exam of bladder and urethra using an endoscope

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Average Medicare Payment

N/A

Total Payments (Latest)

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Services (Latest)

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Price Change (–)

N/A

🗺️ State-by-State Cost Variation

The most expensive state pays 3.4x more than the cheapest for this procedure. GU averages $207.07 vs ND at $60.31.

StateAvg PaymentTotal PaymentsServicesProviders
GU$207.07$30.6K1483
NJ$190.54$4.4M23.3K286
CA$182.09$11.5M63.0K717
PR$180.82$60.4K33418
VI$179.13$26.3K1472
AK$177.75$250.4K1.4K20
MA$173.02$4.3M24.7K242
NY$172.75$8.9M51.2K618
DC$171.13$356.8K2.1K29
CT$166.69$1.3M7.9K112
VA$165.10$3.5M21.2K219
NV$164.50$1.1M6.7K51
DE$164.13$661.9K4.0K31
IL$163.55$5.0M30.4K314
RI$162.84$350.4K2.2K33
FL$162.00$11.8M72.6K674
WY$159.59$240.8K1.5K13
AZ$159.50$4.4M27.7K195
TX$157.48$7.2M45.7K602
MO$154.86$2.2M14.2K171
UT$153.69$768.4K5.0K61
MN$152.79$1.6M10.6K152
CO$152.44$2.4M15.5K152
SC$152.22$2.5M16.1K142
NC$152.12$3.4M22.5K283
HI$151.93$191.3K1.3K21
OR$151.86$1.6M10.8K100
OK$151.50$1.3M8.3K99
AL$149.02$1.2M7.9K123
WA$143.63$2.6M17.8K178
KY$143.12$1.6M11.0K91
MI$142.71$2.8M19.5K255
TN$141.40$3.1M21.9K200
PA$139.74$5.6M39.9K401
MD$139.08$5.2M37.3K201
LA$137.40$1.2M9.1K126
GA$136.07$3.7M27.5K272
IN$134.21$2.5M18.3K187
AR$133.99$1.0M7.6K65
NM$132.19$327.0K2.5K33
MS$130.07$1.4M10.4K74
IA$127.88$1.0M7.8K71
KS$126.78$1.4M11.0K82
WI$123.94$1.4M11.0K156
NE$120.81$1.1M9.3K54
NH$120.01$512.8K4.3K49
OH$118.93$3.6M30.2K341
ID$114.86$466.6K4.1K43
MT$108.36$386.5K3.6K34
SD$100.40$382.7K3.8K25
ME$84.66$233.3K2.8K43

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Aesthetic Plastic Surgery Institute Of Louisville, LlcAmbulatory Surgical CenterKY$561.1K2.8K$199.54
Academic Urology Of Pa, LlcAmbulatory Surgical CenterPA$523.9K2.4K$216.75
Anne Arundel Urological Surgery Center LlcAmbulatory Surgical CenterMD$436.1K2.1K$210.25
Urology Health Surgery Center, LlcAmbulatory Surgical CenterPA$419.0K2.0K$211.42
Advanced Surgery Center Of OxfordAmbulatory Surgical CenterFL$393.7K2.2K$182.43
Harlem Road Ambulatory Surgery Center LlcAmbulatory Surgical CenterNY$346.2K1.5K$224.64
Summit Ambulatory Surgical Center, LlcAmbulatory Surgical CenterMD$334.7K1.5K$217.45
Summit Ambulatory Surgical Center, LlcAmbulatory Surgical CenterMD$305.3K1.5K$206.85
Urlogy Ambulatory Surgery Center LlcAmbulatory Surgical CenterTN$295.6K1.5K$191.70
The Urology Center LlcAmbulatory Surgical CenterOH$273.4K1.4K$199.99
Urology Surgical Center LlcAmbulatory Surgical CenterNE$265.3K1.3K$206.01
Urology Asc- Phoenix, LlcAmbulatory Surgical CenterAZ$230.6K1.1K$210.94
Oregon Surgicenter LlcAmbulatory Surgical CenterOR$226.1K1.0K$222.58
Fort Sanders West Op Surgery CenterAmbulatory Surgical CenterTN$225.6K1.3K$179.19
Urology Surgery Center Of Colorado LlcAmbulatory Surgical CenterCO$221.6K1.1K$205.02
Central Ohio Urology Surgery Center, LlcAmbulatory Surgical CenterOH$220.4K1.1K$205.04
Johns Hopkins Surgery Centers SeriesAmbulatory Surgical CenterMD$216.6K1.1K$205.54
Mississippi Urology Outpatient Surgery Center, LlcAmbulatory Surgical CenterMS$210.4K1.1K$197.21
Center For Urologic Care Of Berks Co PcAmbulatory Surgical CenterPA$208.3K983$211.87
Wichita Urology Surgery Center LlcAmbulatory Surgical CenterKS$208.3K1.1K$186.95

🤔 Is Diagnostic exam of bladder and urethra using an endoscope Overpriced?

The data suggests significant pricing inconsistencies for CPT 52000. With a 3.4x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.

Costs have remained relatively stable over time, but the geographic variation suggests Medicare's geographic adjustment factors may not fully capture the true cost differences across states.

This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.