CPT 52235 Surgery - Urinary

How Much Does Cystoscopy and Treatment Cost?

Also known as: Cystoscopy and treatment (CPT 52235)

Removal of a bladder tumor through the urethra using a cystoscope (TURBT - transurethral resection of bladder tumor).

The total estimated cost of Cystoscopy and Treatment (CPT 52235) is $855 to $1,604, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $255.

Total Estimated Cost of Care

$855 — $1,604

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

Surgeon/Physician Fee
$255
Hospital Facility Fee
$764
Anesthesia (est.)
$51
Important: The physician fee of $255 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)
$255
Physician component only — CMS PFS 2026

Patient Guide: Cystoscopy and Treatment

What you need to know before your appointment

What to Expect

Under anesthesia, a scope is passed through the urethra to the bladder. The surgeon uses electrical current to cut and remove the tumor. A catheter may be left in the bladder afterward.

How Long Does It Take?

30-60 minutes

Common Reasons Doctors Order This

Bladder cancer treatment, bladder tumor removal, bladder cancer staging

How to Prepare

Fast before anesthesia. You may have a catheter for 1-2 days after. Blood in urine is expected. Follow instructions about activity restrictions.

Procedures Commonly Done Together

These procedures are frequently performed alongside Cystoscopy and treatment

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How to Reduce Your Cost for Cystoscopy and treatment

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

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 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.

5.30
Work RVU
1.64
Practice Expense RVU
0.68
Malpractice RVU
7.62
Total RVU

Payment = Total RVU (7.62) x CF ($33.40) = $255

Frequently Asked Questions

How much does Cystoscopy and treatment cost?

The Medicare facility rate for Cystoscopy and treatment is $255. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Cystoscopy and treatment cost without insurance?

Without insurance, the cost of Cystoscopy and treatment 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 Cystoscopy and treatment?

Most commercial health insurance plans and Medicare cover Cystoscopy and treatment 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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