Price Checker / CPT 52204
How much does Cystoscopy W/biopsy(s) cost?
CPT 52204 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 18x the fair price — among the most extreme markups. Dispute this.
Fair price
$530–$1,050
What this should cost
With insurance
~$2,700
Typical out-of-pocket
Overcharged if over
$1,300
Push back above this
The average hospital charge of $14,276 is $13,486 over the fair price (about 18x the fair rate).
What hospitals charge for Cystoscopy W/biopsy(s)
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 LOS ALAMOS, NY | $29,811 | — | 8288% |
| Union Hospital Terre Haute Terre Haute, IN | $20,801 | — | 5753% |
| Georgetown Community Hospital GEORGETOWN, KY | $18,881 | — | 5213% |
| Bourbon Community Hospital PARIS, KY | $17,234 | — | 4749% |
| Lake Cumberland Regional Hospital SOMERSET, CO | $16,882 | — | 4650% |
| EHHS Fulton Square Clinic , WI | $12,504 | $9,128 | 3418% |
| Spring View Hospital LEBANON, KY | $11,553 | — | 3151% |
| LifeBrite Community Hospital of Stokes DANBURY, NC | $7,829 | — | 1882% |
| Wills Memorial Hospital WASHINGTON, GA | $4,095 | $2,867 | 1052% |
| Richardson Medical Center RAYVILLE, LA | $3,174 | $2,381 | 793% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Cystoscopy W/biopsy(s)
CPT code 52204 refers to cystoscopy w/biopsy(s) (billing description: "Cystoscopy w/biopsy(s)"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $127 in a facility (hospital or surgery center) and $355 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
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.