Procedure price report · Other OR therapeutic procedures of urinary tract

Bladder scope to crush and remove a large bladder stone

CPT code CPT 52318the billing code this page is about

A scope is passed through the urethra, a bladder stone larger than about one inch or a difficult case is broken up, and the pieces are washed out.

Hospitals typically charge $3,523 cash for this outpatient procedure — the median across 796 hospitals that filed a usable cash price; the average of the middle 60% is $3,854. Most fall between $1,075 and $9,005 (20th–80th percentile).

Hospitals
796
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 796 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
$771$1,198$3,523$7,172$15,728

The most expensive tenth of hospitals charges at least 20× what the cheapest tenth charges ($771 vs $15,728).

How the prices are spread

$520 – $757: 36 hospitals$520$757 – $1,104: 91 hospitals$1,104 – $1,608: 109 hospitals$1,104$1,608 – $2,343: 61 hospitals$2,343 – $3,415: 51 hospitals$2,343$3,415 – $4,976: 111 hospitals$4,976 – $7,250: 100 hospitals$4,976$7,250 – $10,565: 72 hospitals$10,565 – $15,395: 44 hospitals$10,565$15,395 – $22,433: 43 hospitals$15,395median $3,523price bands are equal on a log scale
Hospitals per price band (718 of 796 — the bands cover the 5th to 95th percentile)
FromToHospitals
$520$75736
$757$1,10491
$1,104$1,608109
$1,608$2,34361
$2,343$3,41551
$3,415$4,976111
$4,976$7,250100
$7,250$10,56572
$10,565$15,39544
$15,395$22,43343

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,601
Median cash price$3,523
Cash as a multiple of Medicare0.98×

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 $3,523.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 9 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 9 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,169 across 16 hospitalsWA$1,169Idaho: median $8,773 across 11 hospitalsID$8,773Montana: 9 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $3,148 across 33 hospitalsMN$3,148Illinois: median $2,492 across 29 hospitalsIL$2,492Wisconsin: median $2,189 across 37 hospitalsWI$2,189Michigan: median $1,547 across 41 hospitalsMI$1,547New York: median $4,081 across 57 hospitalsNY$4,081Massachusetts: 7 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $1,126 across 15 hospitalsOR$1,126Nevada: 7 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $1,198 across 31 hospitalsIA$1,198Indiana: median $1,225 across 20 hospitalsIN$1,225Ohio: median $10,312 across 48 hospitalsOH$10,312Pennsylvania: median $4,044 across 30 hospitalsPA$4,044New Jersey: median $4,561 across 33 hospitalsNJ$4,561Connecticut: 3 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $6,594 across 61 hospitalsCA$6,594Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: 6 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $1,158 across 14 hospitalsNE$1,158Missouri: median $5,812 across 20 hospitalsMO$5,812Kentucky: 9 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $1,339 across 18 hospitalsWV$1,339Virginia: median $12,778 across 17 hospitalsVA$12,778Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 8 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 9 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: median $2,006 across 10 hospitalsAR$2,006Tennessee: median $4,407 across 13 hospitalsTN$4,407North Carolina: 8 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $777 across 16 hospitalsOK$777Louisiana: median $4,862 across 11 hospitalsLA$4,862Mississippi: median $986 across 10 hospitalsMS$986Alabama: median $3,162 across 12 hospitalsAL$3,162Georgia: median $5,544 across 11 hospitalsGA$5,544Hawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $5,053 across 36 hospitalsTX$5,053Florida: median $8,482 across 18 hospitalsFL$8,482
Cash price by state, most expensive first. National median $3,523. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Virginia VA17$12,778+263%$2,357 – $20,559
Ohio OH48$10,312+193%$2,118 – $21,092
Idaho ID11$8,773+149%$2,189 – $8,773
Florida FL18$8,482+141%$1,441 – $14,060
California CA61$6,594+87%$1,365 – $9,005
Missouri MO20$5,812+65%$1,097 – $19,941
Georgia GA11$5,544+57%$2,952 – $5,544
Texas TX36$5,053+43%$3,523 – $6,166
Louisiana LA11$4,862+38%$2,909 – $5,781
New Jersey NJ33$4,561+29%$3,818 – $6,311
Tennessee TN13$4,407+25%$477 – $5,751
New York NY57$4,081+16%$1,325 – $5,450
Pennsylvania PA30$4,044+15%$302 – $7,427
Alabama AL12$3,162−10%$1,450 – $11,242
Minnesota MN33$3,148−11%$1,172 – $3,737
Illinois IL29$2,492−29%$1,198 – $21,334
Wisconsin WI37$2,189−38%$2,189 – $4,446
Arkansas AR10$2,006−43%$1,144 – $3,026
Michigan MI41$1,547−56%$771 – $4,847
West Virginia WV18$1,339−62%$492 – $8,036
Indiana IN20$1,225−65%$650 – $15,962
Iowa IA31$1,198−66%$1,145 – $5,657
Washington WA16$1,169−67%$882 – $7,172
Nebraska NE14$1,158−67%$943 – $3,715
Oregon OR15$1,126−68%$852 – $2,046
Mississippi MS10$986−72%$872 – $9,719
Oklahoma OK16$777−78%$777 – $10,171
Kansas KS9not enough hospitals filed a usable price
Kentucky KY9not enough hospitals filed a usable price
Maine ME9not enough hospitals filed a usable price
Montana MT9not enough hospitals filed a usable price
Vermont VT9not enough hospitals filed a usable price
Arizona AZ8not enough hospitals filed a usable price
North Carolina NC8not enough hospitals filed a usable price
Massachusetts MA7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
Nevada NV7not enough hospitals filed a usable price
Colorado CO6not enough hospitals filed a usable price
South Carolina SC6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Connecticut CT3not enough hospitals filed a usable price
Utah UT3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
South Dakota SD2not 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 $3,523.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care619$4,400$1,198 – $10,312
Children’s8fewer than 20 hospitals
Critical access167$1,412$887 – $3,196
Ownership
For-profit90$6,129$2,016 – $12,965
Government117$1,450$836 – $4,081
Non-profit587$3,769$1,088 – $9,005
System affiliation
Part of a system620$4,081$1,198 – $9,969
Independent176$1,598$882 – $5,664

Cash price vs list price

Median list price (chargemaster)$4,247
Median cash price$3,523
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

376 hospitals filed a usable inpatient cash price for this code. The median is $1,753 and the average of the middle 60% is $2,751; most fall between $835 and $6,594.

Cash price percentiles, inpatient, across 376 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
$602$941$1,753$5,657$9,005

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($602 vs $9,005).

Of the 418 hospitals that filed this code inpatient, 376 gave a usable cash price; 23 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 19 a list price only.

How complete is this

796 of the 3,956 hospitals with a price file in our corpus (20%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 878 hospitals that filed this code at all gave us
Usable cash price — counted796
Cash price carrying a plausibility flag — shown on the compare tool, excluded here51
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded8
A list price only, no cash figure — excluded22
Hospitals that filed this code878

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.

Hospitals file this code under descriptions such as Litholapaxy Comp/Lg > 2.5 Cm.

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 to crush and remove a large bladder stone (CPT 52318) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-52318-bladder-scope-to-crush-and-remove-a-large-bladder-stone