CPT 52000 Surgery - Urinary

How Much Does Cystourethroscopy Cost?

Also known as: Cystourethroscopy (CPT 52000)

A cystoscopy where a small camera is inserted through the urethra to examine the inside of the bladder.

The total estimated cost of Cystourethroscopy (CPT 52000) is $239 to $448, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $71.

Total Estimated Cost of Care

$239 — $448

This estimate includes hospital facility fees, anesthesia, and supplies .

Surgeon/Physician Fee
$71
Hospital Facility Fee
$213
Anesthesia (est.)
$14
Important: The physician fee of $71 shown in the cost cards below is what Medicare pays the surgeon/doctor only. The hospital charges a separate facility fee that typically makes up 70-85% of the total cost.
Medicare Physician Fee (Facility Setting)
$71
Physician component only — CMS PFS 2026
Medicare Physician Fee (Office/Clinic)
$216
Non-facility setting

Patient Guide: Cystourethroscopy

What you need to know before your appointment

What to Expect

After numbing the urethra with gel, the doctor inserts a thin, flexible scope through the urethra into the bladder. You may feel pressure and a brief urge to urinate. The entire bladder lining is examined.

How Long Does It Take?

5-15 minutes

Common Reasons Doctors Order This

Blood in urine, frequent urinary infections, difficulty urinating, bladder pain, follow-up after bladder cancer treatment

How to Prepare

You may take antibiotics before the procedure. Drink plenty of water afterward. Mild burning with urination for a day or two is normal.

Procedures Commonly Done Together

These procedures are frequently performed alongside Cystourethroscopy

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How to Reduce Your Cost for Cystourethroscopy

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    For this procedure, the office rate ($216) differs from the facility rate ($71). Ask if it can be done in an office setting.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

1.49
Work RVU
0.44
Practice Expense RVU
0.20
Malpractice RVU
6.46
Total RVU

Payment = Total RVU (6.46) x CF ($33.40) = $216

Frequently Asked Questions

How much does Cystourethroscopy cost?

The Medicare facility rate for Cystourethroscopy is $71. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Cystourethroscopy cost without insurance?

Without insurance, the cost of Cystourethroscopy can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Cystourethroscopy?

Most commercial health insurance plans and Medicare cover Cystourethroscopy when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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