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Procedure price report · Genitourinary incontinence procedures

Keyhole sling procedure for stress urine leakage

CPT 51992the billing code this page is about

Laparoscopic surgery that places a supportive sling under the urethra to treat urine leakage with coughing or exertion.

Hospitals typically charge $3,591 cash for this outpatient procedure — the median across 384 hospitals that filed a usable cash price; the average of the middle 60% is $3,711. Most fall between $1,386 and $6,904 (20th–80th percentile).

Hospitals
384
States
47
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 384 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
$927$1,525$3,591$6,311$12,082

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($927 vs $12,082).

How the prices are spread

$730 – $1,019: 28 hospitals$730$1,019 – $1,422: 36 hospitals$1,422 – $1,984: 60 hospitals$1,422$1,984 – $2,769: 40 hospitals$2,769 – $3,865: 14 hospitals$2,769$3,865 – $5,394: 64 hospitals$5,394 – $7,528: 58 hospitals$5,394$7,528 – $10,505: 22 hospitals$10,505 – $14,661: 11 hospitals$10,505$14,661 – $20,460: 13 hospitals$14,661median $3,591price bands are equal on a log scale
Hospitals per price band (346 of 384 — the bands cover the 5th to 95th percentile)
FromToHospitals
$730$1,01928
$1,019$1,42236
$1,422$1,98460
$1,984$2,76940
$2,769$3,86514
$3,865$5,39464
$5,394$7,52858
$7,528$10,50522
$10,505$14,66111
$14,661$20,46013

Against Medicare

Medicare pays (OPPS 2026, national rate)$6,176
Median cash price$3,591
Cash as a multiple of Medicare0.58×

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 $3,591.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 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: 9 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: median $13,667 across 11 hospitalsID$13,667Montana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 7 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,618 across 18 hospitalsIL$1,618Wisconsin: median $4,103 across 21 hospitalsWI$4,103Michigan: median $1,926 across 24 hospitalsMI$1,926New York: median $6,176 across 31 hospitalsNY$6,176Massachusetts: 3 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 7 hospitals filed a usable price — fewer than 10, so no figureORNevada: 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: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $2,106 across 25 hospitalsIA$2,106Indiana: no hospital in the corpus filed a usable priceINOhio: 8 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $539 across 18 hospitalsPA$539New Jersey: median $6,458 across 31 hospitalsNJ$6,458Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $5,354 across 35 hospitalsCA$5,354Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 5 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: 7 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 2 hospitals 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: 6 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 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: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,385 across 12 hospitalsOK$1,385Louisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 5 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 2 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $5,184 across 23 hospitalsTX$5,184Florida: median $16,944 across 10 hospitalsFL$16,944
Cash price by state, most expensive first. National median $3,591. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL10$16,944+372%$3,866 – $21,540
Idaho ID11$13,667+281%$5,150 – $15,131
New Jersey NJ31$6,458+80%$5,110 – $12,082
New York NY31$6,176+72%$1,533 – $6,904
California CA35$5,354+49%$1,869 – $5,354
Texas TX23$5,184+44%$2,930 – $5,979
Wisconsin WI21$4,103+14%$4,103 – $5,446
Iowa IA25$2,106−41%$1,813 – $2,359
Michigan MI24$1,926−46%$1,421 – $4,103
Illinois IL18$1,618−55%$655 – $16,294
Oklahoma OK12$1,385−61%$1,385 – $1,385
Pennsylvania PA18$539−85%$262 – $9,864
Washington WA9not enough hospitals filed a usable price
Ohio OH8not enough hospitals filed a usable price
Minnesota MN7not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
Oregon OR7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
West Virginia WV7not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
Alabama AL5not enough hospitals filed a usable price
Colorado CO5not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
Massachusetts MA3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
Montana MT3not 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
Arkansas AR2not enough hospitals filed a usable price
Georgia GA2not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
Virginia VA2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Utah UT1not 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 $3,591.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care289$4,318$1,386 – $7,419
Children’s3fewer than 20 hospitals
Critical access92$2,098$1,370 – $4,770
Ownership
For-profit40$5,979$1,385 – $15,131
Government65$2,194$1,421 – $6,904
Non-profit279$3,866$1,385 – $6,463
System affiliation
Part of a system304$4,103$1,421 – $6,904
Independent80$2,194$1,344 – $6,099

Cash price vs list price

Median list price (chargemaster)$3,123
Median cash price$3,591
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

199 hospitals filed a usable inpatient cash price for this code. The median is $2,106 and the average of the middle 60% is $2,983; most fall between $1,385 and $5,354.

Cash price percentiles, inpatient, across 199 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
$829$1,386$2,106$5,354$6,589

The most expensive tenth of hospitals charges at least 8.0× what the cheapest tenth charges ($829 vs $6,589).

Of the 222 hospitals that filed this code inpatient, 199 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 7 a list price only.

How complete is this

384 of the 3,956 hospitals with a price file in our corpus (10%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 428 hospitals that filed this code at all gave us
Usable cash price — counted384
Cash price carrying a plausibility flag — shown on the compare tool, excluded here30
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded3
A list price only, no cash figure — excluded10
Hospitals that filed this code428

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 Sling Operation 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 sling procedure for stress urine leakage (CPT 51992) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-51992-keyhole-sling-procedure-for-stress-urine-leakage