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Cystoscopy: what insurers pay

A scope look inside the bladder and urethra. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

Open the interactive explorerAll operations

CPT 52000: Cystoscopy

1365 hospitals in 81 markets. National Medicare rate $712, surgery center $311.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)17$753$1,096$2,126$359–$2,828
Alaska (statewide)4———$1,036–$3,452
Arizona (statewide)13$996$1,531$2,155$428–$5,570
Arkansas (statewide)13$655$923$1,053$604–$2,768
Atlanta GA10$2,360$2,572$3,320$2,360–$3,320
Austin TX13$647$1,370$2,078$647–$2,334
Boston MA16$875$1,244$1,426$562–$1,984
California (statewide)66$1,312$2,422$3,065$790–$6,940
Charlotte NC6$794$794$794$783–$914
Chicago IL8$1,263$1,940$2,466$952–$3,540
Cleveland OH11$1,549$1,908$2,204$1,380–$2,276
Colorado (statewide)16$1,248$2,018$2,414$671–$3,702
Columbus OH2———$2,508–$2,508
Connecticut (statewide)3———$980–$2,905
Dallas-Fort Worth TX14$1,625$1,994$2,045$1,047–$3,238
Denver CO15$1,660$2,368$2,806$1,083–$3,702
Detroit MI16$887$973$1,192$425–$2,968
Florida (statewide)71$1,574$2,766$3,071$916–$5,565
Georgia (statewide)43$1,767$2,426$2,572$636–$4,339
Hawaii (statewide)7$1,178$1,988$2,490$830–$2,833
Houston TX17$1,510$2,128$2,136$1,210–$2,673
Idaho (statewide)13$651$1,004$1,550$625–$2,289
Illinois (statewide)34$1,051$1,403$1,635$482–$3,558
Indiana (statewide)40$1,156$1,567$2,774$667–$5,496
Indianapolis IN1———$2,901–$2,901
Iowa (statewide)33$1,016$1,445$1,688$488–$3,617
Kansas (statewide)36$757$948$1,141$324–$3,452
Kentucky (statewide)17$1,037$1,226$1,512$799–$2,628
Las Vegas NV2———$1,475–$1,656
Los Angeles CA16$1,994$2,250$2,391$1,221–$3,895
Louisiana (statewide)23$627$674$1,054$350–$1,862
Maine (statewide)18$2,432$3,002$3,175$688–$3,992
Maryland (statewide)1———$2,903–$2,903
Massachusetts (statewide)12$833$1,346$1,632$643–$3,116
Miami-Fort Lauderdale FL5$1,165$1,236$1,458$1,132–$5,565
Michigan (statewide)32$718$764$892$390–$3,469
Minneapolis-St. Paul MN11$1,506$2,136$2,205$864–$2,515
Minnesota (statewide)13$1,772$2,094$2,178$1,576–$2,526
Mississippi (statewide)19$854$1,130$1,270$509–$2,663
Missouri (statewide)26$852$1,575$2,255$357–$5,182
Montana (statewide)7$1,372$1,578$1,999$378–$2,040
Nashville TN8$1,001$1,749$2,291$895–$2,371
Nebraska (statewide)20$1,012$1,503$1,938$378–$3,653
Nevada (statewide)5$1,656$1,718$1,718$1,462–$1,818
New Hampshire (statewide)6$2,260$2,550$3,052$1,053–$3,742
New Jersey (statewide)27$774$1,676$2,806$729–$3,662
New Mexico (statewide)9$863$1,374$3,841$635–$5,305
New York (statewide)37$1,386$2,034$2,419$647–$4,411
New York City8$2,385$2,419$2,771$1,070–$4,100
North Carolina (statewide)8$1,522$1,788$2,132$700–$2,619
North Dakota (statewide)6$627$1,384$1,716$434–$1,836
Ohio (statewide)42$1,622$1,976$2,817$390–$3,958
Oklahoma (statewide)16$1,040$1,367$1,439$594–$2,968
Oregon (statewide)16$1,341$1,709$2,424$458–$3,122
Pennsylvania (statewide)49$1,155$1,559$2,217$503–$3,084
Philadelphia PA10$1,802$2,008$2,640$1,033–$5,312
Phoenix AZ8$1,733$1,908$2,064$1,678–$2,064
Pittsburgh PA11$1,091$1,280$1,485$886–$1,964
Portland OR9$3,196$3,205$3,205$3,196–$3,395
Research Triangle NC1———$2,162–$2,162
Rhode Island (statewide)6$956$1,332$2,008$725–$2,630
Richmond VA3———$3,138–$3,505
Rio Grande Valley TX6$915$1,098$2,192$906–$2,588
Salt Lake City UT9$599$599$599$584–$614
San Antonio TX3———$1,034–$2,012
San Diego CA7$1,556$1,569$1,569$1,282–$1,654
San Francisco Bay Area CA5$1,196$2,076$3,859$1,162–$4,649
Seattle-Tacoma WA16$2,080$2,286$2,364$1,798–$2,496
South Carolina (statewide)27$1,653$2,215$2,980$683–$4,585
South Dakota (statewide)4———$849–$3,367
St. Louis MO10$1,241$4,172$4,172$1,140–$5,296
Tampa FL6$2,121$2,121$2,121$1,340–$3,371
Tennessee (statewide)37$1,097$1,163$1,446$599–$2,371
Texas (statewide)76$1,029$2,000$2,380$362–$5,496
Utah (statewide)7$543$599$622$514–$2,383
Vermont (statewide)3———$651–$1,874
Virginia (statewide)20$1,740$3,186$3,408$1,244–$3,765
Washington (statewide)15$1,592$1,856$2,070$988–$3,256
Washington DC11$1,863$1,894$2,162$1,852–$2,664
West Virginia (statewide)12$1,008$1,170$2,269$534–$4,642
Wisconsin (statewide)46$1,832$2,052$3,293$368–$4,116

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Amberwell HiawathaKansas (statewide)$3240.5×22026-08-18
Nemaha Valley Community HospitalKansas (statewide)$3260.5×12026-09-16
Ottawa County Health CenterKansas (statewide)$3260.5×12026-08-05
Clay County Medical CenterKansas (statewide)$3260.5×12026-07-22
Ochsner St Martin HospitalLouisiana (statewide)$3500.6×52026-04-01
Ochsner Abrom Kaplan Memorial HospitalLouisiana (statewide)$3500.6×32026-04-01
Lafayette Regional Health CenterMissouri (statewide)$3570.5×42026-09-01
Ochsner American Legion HospitalLouisiana (statewide)$3580.6×42026-04-01
Usa Health Children'S & Women'S HospitalAlabama (statewide)$3590.6×12026-04-30
Comanche County Medical CenterTexas (statewide)$3620.5×12026-07-14
Thedacare Medical Center - Wild Rose IncWisconsin (statewide)$3680.5×12026-08-08
Muenster Memorial HospitalTexas (statewide)$3770.5×12026-09-27
Jefferson Stratford HospitalPhiladelphia PA$5,3126.8×22026-09-15
Union Hospital IncIndiana (statewide)$5,3917.3×22026-08-05
Parkview Regional Medical CenterIndiana (statewide)$5,4967.5×12026-09-01
Parkview HospitalTexas (statewide)$5,4967.8×12026-09-01
Rady Children'S Hospital - San DiegoCalifornia (statewide)$5,5566.2×42026-04-01
Memorial Regional HospitalFlorida (statewide)$5,5657.6×12026-05-27
Memorial Hospital PembrokeFlorida (statewide)$5,5657.6×12026-05-27
Memorial Hospital WestMiami-Fort Lauderdale FL$5,5657.6×12026-05-27
Memorial Hospital MiramarFlorida (statewide)$5,5657.6×12026-05-27
Page HospitalArizona (statewide)$5,5707.5×12026-03-02
Los Robles Hospital & Medical CenterCalifornia (statewide)$5,8526.5×22026-09-01
Valley Children'S HospitalCalifornia (statewide)$6,9407.7×12026-04-01

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

Questions

How much do commercial insurers pay hospitals for cystoscopy?

Across 1365 hospitals in 81 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 52000, hospital outpatient is $1,708, 2.3× the same hospital's local Medicare base rate. The middle half of hospitals runs $1,070 to $2,418. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for cystoscopy?

Medicare's national hospital outpatient rate for CPT 52000 is $712 and its surgery-center rate is $311, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for cystoscopy?

Lowest medians: Amberwell Hiawatha ($324), Nemaha Valley Community Hospital ($326), Ottawa County Health Center ($326). Highest: Valley Children'S Hospital ($6,940), Los Robles Hospital & Medical Center ($5,852), Page Hospital ($5,570). Coverage: every hospital whose price file we could read.