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Procedure price report · Prophylactic vaccinations and inoculations

BCG live treatment placed into the bladder

CPT 90586the billing code this page is about

Covers one dose of live BCG instilled into the bladder as treatment for bladder cancer; the procedure to place it in the bladder is billed separately.

Hospitals typically charge $304 cash for this outpatient procedure — the median across 198 hospitals that filed a usable cash price; the average of the middle 60% is $314. Most fall between $131 and $489 (20th–80th percentile).

Hospitals
198
States
37
Filings dated
Dec 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 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 198 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
$111$156$304$489$594

The most expensive tenth of hospitals charges at least 5.4× what the cheapest tenth charges ($111 vs $594).

How the prices are spread

$76 – $94: 9 hospitals$76$94 – $117: 13 hospitals$117 – $145: 17 hospitals$117$145 – $179: 11 hospitals$179 – $221: 17 hospitals$179$221 – $274: 20 hospitals$274 – $339: 11 hospitals$274$339 – $419: 29 hospitals$419 – $519: 37 hospitals$419$519 – $642: 16 hospitals$519median $304price bands are equal on a log scale
Hospitals per price band (180 of 198 — the bands cover the 5th to 95th percentile)
FromToHospitals
$76$949
$94$11713
$117$14517
$145$17911
$179$22117
$221$27420
$274$33911
$339$41929
$419$51937
$519$64216

By state

The median cash price in each state, against the national median of $304.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: 7 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: no hospital in the corpus filed a usable priceIDMontana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 7 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $174 across 10 hospitalsIL$174Wisconsin: 3 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $225 across 10 hospitalsMI$225New York: 4 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: 7 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 6 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $187 across 14 hospitalsIA$187Indiana: 5 hospitals filed a usable price — fewer than 10, so no figureINOhio: 3 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: 9 hospitals filed a usable price — fewer than 10, so no figurePANew Jersey: 3 hospitals filed a usable price — fewer than 10, so no figureNJConnecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $372 across 24 hospitalsCA$372Utah: no hospital in the corpus filed a usable priceUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 1 hospital filed a usable price — fewer than 10, so no figureNEMissouri: 2 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: no hospital in the corpus filed a usable priceWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: no hospital in the corpus filed a usable priceARTennessee: 2 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: no hospital in the corpus filed a usable priceSCOklahoma: no hospital in the corpus filed a usable priceOKLouisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 7 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $489 across 31 hospitalsTX$489Florida: 3 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $304. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Texas TX31$489+61%$489 – $489
California CA24$372+23%$372 – $372
Michigan MI10$225−26%$160 – $226
Iowa IA14$187−38%$187 – $251
Illinois IL10$174−43%$131 – $304
Pennsylvania PA9not enough hospitals filed a usable price
Massachusetts MA7not enough hospitals filed a usable price
Minnesota MN7not enough hospitals filed a usable price
Mississippi MS7not enough hospitals filed a usable price
Washington WA7not enough hospitals filed a usable price
Oregon OR6not enough hospitals filed a usable price
Indiana IN5not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
North Carolina NC4not enough hospitals filed a usable price
New York NY4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Florida FL3not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
New Jersey NJ3not enough hospitals filed a usable price
Ohio OH3not enough hospitals filed a usable price
Wisconsin WI3not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Missouri MO2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Tennessee TN2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Nebraska NE1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Wyoming WY1not 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 $304.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care155$336$131 – $489
Children’s1fewer than 20 hospitals
Critical access42$211$122 – $489
Ownership
For-profit19fewer than 20 hospitals
Government34$174$94 – $449
Non-profit145$318$131 – $489
System affiliation
Part of a system161$307$131 – $489
Independent37$265$156 – $510

Cash price vs list price

Median list price (chargemaster)$434
Median cash price$304
Cash as a share of list, median hospital64%

At the typical hospital, asking for the cash price cuts the list price by about 36%. 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

147 hospitals filed a usable inpatient cash price for this code. The median is $372 and the average of the middle 60% is $356; most fall between $174 and $489.

Cash price percentiles, inpatient, across 147 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
$131$187$372$489$637

The most expensive tenth of hospitals charges at least 4.9× what the cheapest tenth charges ($131 vs $637).

Of the 156 hospitals that filed this code inpatient, 147 gave a usable cash price; 3 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 6 a list price only.

How complete is this

198 of the 3,956 hospitals with a price file in our corpus (5%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 211 hospitals that filed this code at all gave us
Usable cash price — counted198
Cash price carrying a plausibility flag — shown on the compare tool, excluded here2
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 — excluded10
Hospitals that filed this code211

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • 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 5, 2026 and September 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Prophylactic vaccinations and inoculations family.

Hospitals file this code under descriptions such as BCG LIVE 50 MG IS SUSR.

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, “BCG live treatment placed into the bladder (CPT 90586) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90586-bcg-live-treatment-placed-into-the-bladder