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Procedure price report · Genitourinary incontinence procedures

Keyhole bladder neck suspension for urine leakage

CPT 51990the billing code this page is about

Laparoscopic surgery that lifts and supports the urethra and bladder neck to treat urine leakage with coughing or exertion.

Hospitals typically charge $4,627 cash for this outpatient procedure — the median across 342 hospitals that filed a usable cash price; the average of the middle 60% is $4,586. Most fall between $1,360 and $9,330 (20th–80th percentile).

Hospitals
342
States
41
Filings dated
Jun 2024 – 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 342 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
$1,198$1,433$4,627$9,290$20,034

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($1,198 vs $20,034).

How the prices are spread

$767 – $1,148: 16 hospitals$767$1,148 – $1,717: 63 hospitals$1,717 – $2,568: 44 hospitals$1,717$2,568 – $3,841: 16 hospitals$3,841 – $5,744: 49 hospitals$3,841$5,744 – $8,592: 47 hospitals$8,592 – $12,851: 36 hospitals$8,592$12,851 – $19,222: 17 hospitals$19,222 – $28,750: 13 hospitals$19,222$28,750 – $43,001: 7 hospitals$28,750median $4,627price bands are equal on a log scale
Hospitals per price band (308 of 342 — the bands cover the 5th to 95th percentile)
FromToHospitals
$767$1,14816
$1,148$1,71763
$1,717$2,56844
$2,568$3,84116
$3,841$5,74449
$5,744$8,59247
$8,592$12,85136
$12,851$19,22217
$19,222$28,75013
$28,750$43,0017

Against Medicare

Medicare pays (OPPS 2026, national rate)$6,176
Median cash price$4,627
Cash as a multiple of Medicare0.75×

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 $4,627.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 4 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: median $4,080 across 12 hospitalsMN$4,080Illinois: median $1,422 across 13 hospitalsIL$1,422Wisconsin: 8 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: 9 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $6,904 across 25 hospitalsNY$6,904Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $2,240 across 12 hospitalsOR$2,240Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $1,885 across 19 hospitalsIA$1,885Indiana: 7 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $3,359 across 10 hospitalsOH$3,359Pennsylvania: median $6,841 across 21 hospitalsPA$6,841New Jersey: median $6,458 across 29 hospitalsNJ$6,458Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $5,354 across 32 hospitalsCA$5,354Utah: no hospital in the corpus filed a usable priceUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $8,196 across 10 hospitalsMO$8,196Kentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 7 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 1 hospital filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 4 hospitals 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: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 8 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,231 across 13 hospitalsOK$1,231Louisiana: 8 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 5 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 8 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $9,330 across 21 hospitalsTX$9,330Florida: 8 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $4,627. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Texas TX21$9,330+102%$7,955 – $9,330
Missouri MO10$8,196+77%$1,198 – $39,246
New York NY25$6,904+49%$1,433 – $7,176
Pennsylvania PA21$6,841+48%$273 – $10,994
New Jersey NJ29$6,458+40%$5,110 – $13,895
California CA32$5,354+16%$1,865 – $5,354
Minnesota MN12$4,080−12%$3,106 – $4,080
Ohio OH10$3,359−27%$1,300 – $33,103
Oregon OR12$2,240−52%$1,360 – $2,507
Iowa IA19$1,885−59%$1,885 – $2,348
Illinois IL13$1,422−69%$1,311 – $43,001
Oklahoma OK13$1,231−73%$1,231 – $11,895
Michigan MI9not enough hospitals filed a usable price
Florida FL8not enough hospitals filed a usable price
Georgia GA8not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Louisiana LA8not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Wisconsin WI8not enough hospitals filed a usable price
Indiana IN7not enough hospitals filed a usable price
West Virginia WV7not enough hospitals filed a usable price
Alabama AL5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Washington WA4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Virginia VA1not 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 $4,627.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care283$5,354$1,384 – $9,864
Children’s4fewer than 20 hospitals
Critical access53$1,924$1,198 – $5,446
Ownership
For-profit40$9,330$1,422 – $21,053
Government44$2,108$1,390 – $7,419
Non-profit256$4,373$1,360 – $9,330
System affiliation
Part of a system287$5,354$1,422 – $9,860
Independent55$2,092$1,266 – $7,419

Cash price vs list price

Median list price (chargemaster)$4,063
Median cash price$4,627
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. 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

176 hospitals filed a usable inpatient cash price for this code. The median is $1,865 and the average of the middle 60% is $2,559; most fall between $1,231 and $6,458.

Cash price percentiles, inpatient, across 176 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
$767$1,231$1,865$5,354$9,330

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($767 vs $9,330).

Of the 197 hospitals that filed this code inpatient, 176 gave a usable cash price; 16 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 5 a list price only.

How complete is this

342 of the 3,956 hospitals with a price file in our corpus (9%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 383 hospitals that filed this code at all gave us
Usable cash price — counted342
Cash price carrying a plausibility flag — shown on the compare tool, excluded here34
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded5
Hospitals that filed this code383

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 Laparoscopy Urethral Suspension Stress Incont.

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, “Keyhole bladder neck suspension for urine leakage (CPT 51990) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-51990-keyhole-bladder-neck-suspension-for-urine-leakage