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Procedure price report · Genitourinary incontinence procedures

Bladder neck suspension through the abdomen and vagina

CPT 51845the billing code this page is about

Stitches placed through both abdominal and vaginal approaches to support the bladder neck for urine leakage, with or without a scope used to check placement.

Hospitals typically charge $2,166 cash for this outpatient procedure — the median across 236 hospitals that filed a usable cash price; the average of the middle 60% is $3,005. Most fall between $1,069 and $6,255 (20th–80th percentile).

Hospitals
236
States
41
Filings dated
Mar 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 236 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$891$1,169$2,166$5,842$11,723

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($891 vs $11,723).

How the prices are spread

$590 – $805: 12 hospitals$590$805 – $1,097: 31 hospitals$1,097 – $1,496: 28 hospitals$1,097$1,496 – $2,040: 32 hospitals$2,040 – $2,781: 10 hospitals$2,040$2,781 – $3,791: 20 hospitals$3,791 – $5,169: 13 hospitals$3,791$5,169 – $7,047: 39 hospitals$7,047 – $9,607: 11 hospitals$7,047$9,607 – $13,098: 28 hospitals$9,607median $2,166price bands are equal on a log scale
Hospitals per price band (224 of 236 — the bands cover the 5th to 95th percentile)
FromToHospitals
$590$80512
$805$1,09731
$1,097$1,49628
$1,496$2,04032
$2,040$2,78110
$2,781$3,79120
$3,791$5,16913
$5,169$7,04739
$7,047$9,60711
$9,607$13,09828

Against Medicare

Medicare pays (OPPS 2026, national rate)$5,111
Median cash price$2,166
Cash as a multiple of Medicare0.42×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $2,166.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 3 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 1 hospital filed a usable price — fewer than 10, so no figureMNIllinois: median $1,469 across 10 hospitalsIL$1,469Wisconsin: median $2,844 across 12 hospitalsWI$2,844Michigan: median $2,166 across 14 hospitalsMI$2,166New York: median $5,842 across 20 hospitalsNY$5,842Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $1,930 across 11 hospitalsOR$1,930Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $1,469 across 14 hospitalsIA$1,469Indiana: 4 hospitals filed a usable price — fewer than 10, so no figureINOhio: 9 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $3,703 across 17 hospitalsPA$3,703New Jersey: median $5,464 across 23 hospitalsNJ$5,464Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $13,098 across 24 hospitalsCA$13,098Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 1 hospital filed a usable price — fewer than 10, so no figureWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $965 across 12 hospitalsOK$965Louisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: 4 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 2 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,166. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA24$13,098+505%$11,513 – $13,098
New York NY20$5,842+170%$1,918 – $5,938
New Jersey NJ23$5,464+152%$4,627 – $5,813
Pennsylvania PA17$3,703+71%$122 – $8,346
Wisconsin WI12$2,844+31%$2,844 – $2,844
Michigan MI14$2,1660%$1,280 – $6,879
Oregon OR11$1,930−11%$1,069 – $1,968
Iowa IA14$1,469−32%$1,469 – $1,469
Illinois IL10$1,469−32%$1,031 – $1,750
Oklahoma OK12$965−55%$965 – $965
Ohio OH9not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Indiana IN4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
Texas TX4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Washington WA3not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Florida FL2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Minnesota MN1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price
West Virginia WV1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $2,166.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care194$2,844$1,038 – $6,879
Children’s5fewer than 20 hospitals
Critical access37$1,930$1,129 – $2,844
Ownership
For-profit22$2,166$1,750 – $9,149
Government32$1,835$1,094 – $5,842
Non-profit182$2,633$1,069 – $6,472
System affiliation
Part of a system194$2,844$1,069 – $6,879
Independent42$1,260$1,030 – $5,409

Cash price vs list price

Median list price (chargemaster)$2,460
Median cash price$2,166
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

146 hospitals filed a usable inpatient cash price for this code. The median is $1,750 and the average of the middle 60% is $2,050; most fall between $965 and $7,666.

Cash price percentiles, inpatient, across 146 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$633$1,069$1,750$3,825$13,098

The most expensive tenth of hospitals charges at least 21× what the cheapest tenth charges ($633 vs $13,098).

Of the 156 hospitals that filed this code inpatient, 146 gave a usable cash price; 8 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 2 a list price only.

How complete is this

236 of the 3,956 hospitals with a price file in our corpus (6%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 254 hospitals that filed this code at all gave us
Usable cash price — counted236
Cash price carrying a plausibility flag — shown on the compare tool, excluded here14
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded3
Hospitals that filed this code254

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 23, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Genitourinary incontinence procedures family.

Hospitals file this code under descriptions such as Abdomino-Vag Vesical Nck Ssp W/WO Ndsc Ctrl.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Bladder neck suspension through the abdomen and vagina (CPT 51845) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-51845-bladder-neck-suspension-through-the-abdomen-and-vagina