Price Checker / CPT 52204
CPT 52204 — Cystoscopy w/biopsy(s)
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$127
What Medicare pays in a hospital/ASC setting
$355
What Medicare pays in a physician's office
$15,640
Based on 12 hospital(s) in our database
What do these numbers mean?
The Medicare rateis what the federal government determines is a fair payment for this procedure. It's based on the Relative Value Unit (RVU) system, which accounts for physician work, practice expense, and malpractice cost. Hospitals and providers often charge 3-20x this amount. If your bill is significantly higher than the Medicare rate, you may have grounds to negotiate.
Hospital Charges for CPT 52204
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Los Alamos Medical Center , NY | $29,811 | — | 8288% |
| "Woman's Hospital" , CA | $23,370 | $23,355 | 6476% |
| Franciscan Health Rensselaer , IN | $21,549 | $8,857 | 5963% |
| Union Hospital Terre Haute Terre Haute, IN | $20,801 | — | 5753% |
| Georgetown Community Hospital , KY | $18,881 | — | 5213% |
| Bourbon Community Hospital , KY | $17,234 | — | 4749% |
| Lake Cumberland Regional Hospital , CO | $16,882 | — | 4650% |
| EHHS Fulton Square Clinic , WI | $12,504 | $9,128 | 3418% |
| Spring View Hospital , KY | $11,553 | — | 3151% |
| LifeBrite Community Hospital of Stokes , NC | $7,829 | — | 1882% |
| Wills Memorial Hospital , GA | $4,095 | $2,867 | 1052% |
| Richardson Medical Center , LA | $3,174 | $2,381 | 793% |
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About CPT 52204
CPT code 52204 refers to “Cystoscopy w/biopsy(s)”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $127 in a facility (hospital or ambulatory surgery center) and $355in a non-facility (physician's office) setting.
These rates are set by CMS (Centers for Medicare & Medicaid Services) and represent what the government considers a fair payment for this service. While commercial insurance typically pays somewhat more than Medicare, many hospitals charge significantly higher amounts — sometimes 10-50x the Medicare rate.
What to do if you were overcharged
- Upload your bill— we'll identify this code and compare it against the rates shown above.
- Get a dispute letter— citing the Medicare rate and your hospital's own published pricing data.
- Negotiate or let us handle it — 25% of savings, no savings = no fee.