Price Checker / CPT 51920

How much does Close Bladder-uterus Fistula cost?

CPT 51920 · Based on 2026 Medicare rates and hospital-published pricing

A fair cash price for this is roughly $1,450–$1,700.

Fair price

$1,450–$1,700

What this should cost

With insurance

~$3,050

Typical out-of-pocket

Overcharged if over

$2,150

Push back above this

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About Close Bladder-uterus Fistula

CPT code 51920 refers to close bladder-uterus fistula (billing description: "Close bladder-uterus fistula"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $693 in a facility (hospital or surgery center) and $693 in a doctor's office.

The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.

What to do if you were overcharged

  1. 1Send us your billwe'll identify this code and compare it against the rates shown above.
  2. 2Get a dispute letterciting the Medicare rate and your hospital's own published pricing data.
  3. 3We negotiate for you25% of savings, no savings = no fee.

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