Price Checker / CPT 52001

How much does Cysto W/irrg&evac Mlt Clots cost?

CPT 52001 · Based on 2026 Medicare rates and hospital-published pricing

Severe overcharge

The average hospital charge is around 12x the fair price — among the most extreme markups. Dispute this.

Fair price

$630–$1,250

What this should cost

With insurance

~$2,800

Typical out-of-pocket

Overcharged if over

$1,550

Push back above this

The average hospital charge of $11,454 is $10,514 over the fair price (about 12x the fair rate).

What hospitals charge for Cysto W/irrg&evac Mlt Clots

From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.

HospitalGross ChargeCash Ratevs Medicare
St. Peter's Health Regional Medical Center

Helena, MT

$1,00034696%
Stony Brook University Hospital

, NY

$10,78618025%
Haywood Regional Medical Center

CLYDE, NC

$39,4709308%
Union Hospital Terre Haute

Terre Haute, IN

$21,5665041%
Georgetown Community Hospital

GEORGETOWN, KY

$6,0323627%
Lake Cumberland Regional Hospital

SOMERSET, CO

$12,5583384%
Northern Light Blue Hill Hospital

Blue Hill, ME

$8712727%
Warren General Hospital

WARREN, PA

$1,7072269%
The Brooklyn Hospital Center

, NY

$13,2061645%
Pender Community Hospital

Pender, NE

$7,3441580%

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About Cysto W/irrg&evac Mlt Clots

CPT code 52001 refers to cysto w/irrg&evac mlt clots (billing description: "Cysto w/irrg&evac mlt clots"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $253 in a facility (hospital or surgery center) and $420 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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