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Procedure price report · Endoscopy and endoscopic biopsy of the urinary tract

Bladder scope with biopsy

CPT 52204the billing code this page is about

A scope exam of the bladder and urethra during which one or more tissue samples are taken for laboratory testing.

Hospitals typically charge $2,079 cash for this outpatient procedure — the median across 1,121 hospitals that filed a usable cash price; the average of the middle 60% is $2,351. Most fall between $633 and $5,539 (20th–80th percentile).

Hospitals
1,121
States
50
Filings dated
Mar 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 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 1,121 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
$328$775$2,079$4,595$9,853

The most expensive tenth of hospitals charges at least 30× what the cheapest tenth charges ($328 vs $9,853).

How the prices are spread

$229 – $344: 62 hospitals$229$344 – $515: 65 hospitals$515 – $772: 97 hospitals$515$772 – $1,156: 111 hospitals$1,156 – $1,732: 104 hospitals$1,156$1,732 – $2,595: 163 hospitals$2,595 – $3,888: 104 hospitals$2,595$3,888 – $5,825: 146 hospitals$5,825 – $8,727: 86 hospitals$5,825$8,727 – $13,075: 71 hospitals$8,727median $2,079price bands are equal on a log scale
Hospitals per price band (1,009 of 1,121 — the bands cover the 5th to 95th percentile)
FromToHospitals
$229$34462
$344$51565
$515$77297
$772$1,156111
$1,156$1,732104
$1,732$2,595163
$2,595$3,888104
$3,888$5,825146
$5,825$8,72786
$8,727$13,07571

Against Medicare

Medicare pays (OPPS 2026, national rate)$2,136
Median cash price$2,079
Cash as a multiple of Medicare0.97×

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 $2,079.

Alaska: 6 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $815 across 11 hospitalsME$815Vermont: median $918 across 11 hospitalsVT$918New Hampshire: 9 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,178 across 26 hospitalsWA$1,178Idaho: median $5,013 across 13 hospitalsID$5,013Montana: 8 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,681 across 49 hospitalsMN$1,681Illinois: median $1,360 across 50 hospitalsIL$1,360Wisconsin: median $1,545 across 55 hospitalsWI$1,545Michigan: median $2,481 across 53 hospitalsMI$2,481New York: median $2,424 across 64 hospitalsNY$2,424Massachusetts: median $2,211 across 13 hospitalsMA$2,211Oregon: median $696 across 23 hospitalsOR$696Nevada: 8 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $2,382 across 11 hospitalsSD$2,382Iowa: median $945 across 47 hospitalsIA$945Indiana: median $2,704 across 27 hospitalsIN$2,704Ohio: median $6,125 across 59 hospitalsOH$6,125Pennsylvania: median $2,470 across 38 hospitalsPA$2,470New Jersey: median $2,575 across 38 hospitalsNJ$2,575Connecticut: 8 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $4,046 across 72 hospitalsCA$4,046Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $1,801 across 12 hospitalsCO$1,801Nebraska: median $946 across 28 hospitalsNE$946Missouri: median $2,338 across 24 hospitalsMO$2,338Kentucky: median $633 across 13 hospitalsKY$633West Virginia: median $2,403 across 25 hospitalsWV$2,403Virginia: median $4,058 across 21 hospitalsVA$4,058Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: median $2,674 across 13 hospitalsAZ$2,674New Mexico: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $630 across 21 hospitalsKS$630Arkansas: median $1,591 across 12 hospitalsAR$1,591Tennessee: median $2,614 across 12 hospitalsTN$2,614North Carolina: median $3,213 across 26 hospitalsNC$3,213South Carolina: median $1,239 across 16 hospitalsSC$1,239Oklahoma: median $536 across 17 hospitalsOK$536Louisiana: median $2,285 across 25 hospitalsLA$2,285Mississippi: median $1,351 across 19 hospitalsMS$1,351Alabama: median $2,061 across 14 hospitalsAL$2,061Georgia: median $1,556 across 23 hospitalsGA$1,556Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $4,559 across 46 hospitalsTX$4,559Florida: median $5,918 across 25 hospitalsFL$5,918
Cash price by state, most expensive first. National median $2,079. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Ohio OH59$6,125+195%$1,010 – $12,779
Florida FL25$5,918+185%$834 – $12,764
Idaho ID13$5,013+141%$758 – $5,304
Texas TX46$4,559+119%$2,089 – $6,632
Virginia VA21$4,058+95%$1,217 – $11,643
California CA72$4,046+95%$1,234 – $9,990
North Carolina NC26$3,213+55%$753 – $3,448
Indiana IN27$2,704+30%$633 – $5,135
Arizona AZ13$2,674+29%$609 – $14,834
Tennessee TN12$2,614+26%$408 – $4,288
New Jersey NJ38$2,575+24%$2,239 – $5,110
Michigan MI53$2,481+19%$181 – $7,007
Pennsylvania PA38$2,470+19%$379 – $4,411
New York NY64$2,424+17%$473 – $4,595
West Virginia WV25$2,403+16%$234 – $3,506
South Dakota SD11$2,382+15%$1,229 – $4,779
Missouri MO24$2,338+12%$640 – $6,707
Louisiana LA25$2,285+10%$716 – $3,811
Massachusetts MA13$2,211+6%$433 – $5,539
Alabama AL14$2,061−1%$840 – $8,426
Colorado CO12$1,801−13%$335 – $4,722
Minnesota MN49$1,681−19%$672 – $2,228
Arkansas AR12$1,591−23%$747 – $3,985
Georgia GA23$1,556−25%$1,556 – $5,849
Wisconsin WI55$1,545−26%$711 – $1,857
Illinois IL50$1,360−35%$633 – $6,146
Mississippi MS19$1,351−35%$857 – $3,975
South Carolina SC16$1,239−40%$873 – $9,853
Washington WA26$1,178−43%$524 – $3,840
Nebraska NE28$946−55%$495 – $2,148
Iowa IA47$945−55%$411 – $2,153
Vermont VT11$918−56%$528 – $1,573
Maine ME11$815−61%$315 – $1,148
Oregon OR23$696−67%$277 – $2,950
Kentucky KY13$633−70%$274 – $2,440
Kansas KS21$630−70%$201 – $1,969
Oklahoma OK17$536−74%$536 – $5,465
New Hampshire NH9not enough hospitals filed a usable price
Connecticut CT8not enough hospitals filed a usable price
Montana MT8not enough hospitals filed a usable price
Nevada NV8not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
Alaska AK6not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Delaware DE1not 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 $2,079.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care823$2,659$873 – $6,556
Children’s12fewer than 20 hospitals
Critical access284$880$368 – $2,220
Ownership
For-profit111$4,353$1,368 – $9,550
Government207$1,275$428 – $3,213
Non-profit801$2,220$637 – $5,715
System affiliation
Part of a system872$2,267$714 – $6,125
Independent249$1,234$368 – $3,560

Cash price vs list price

Median list price (chargemaster)$3,015
Median cash price$2,079
Cash as a share of list, median hospital61%

At the typical hospital, asking for the cash price cuts the list price by about 39%. 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

588 hospitals filed a usable inpatient cash price for this code. The median is $1,842 and the average of the middle 60% is $2,059; most fall between $554 and $4,559.

Cash price percentiles, inpatient, across 588 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
$314$700$1,842$4,046$6,125

The most expensive tenth of hospitals charges at least 20× what the cheapest tenth charges ($314 vs $6,125).

Of the 662 hospitals that filed this code inpatient, 588 gave a usable cash price; 33 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 41 a list price only.

How complete is this

1,121 of the 3,956 hospitals with a price file in our corpus (28%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,237 hospitals that filed this code at all gave us
Usable cash price — counted1,121
Cash price carrying a plausibility flag — shown on the compare tool, excluded here70
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded10
A list price only, no cash figure — excluded36
Hospitals that filed this code1,237

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 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Endoscopy and endoscopic biopsy of the urinary tract family.

Hospitals file this code under descriptions such as PR Cystourethroscopy,Biopsy.

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 scope with biopsy (CPT 52204) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-52204-bladder-scope-with-biopsy