Price Checker / CPT 52235
CPT 52235 — Cystoscopy and treatment
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$255
What Medicare pays in a hospital/ASC setting
$255
What Medicare pays in a physician's office
$16,523
Based on 55 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 52235
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Franciscan Health Lafayette , IN | $42,235 | $10,854 | 16495% |
| Los Alamos Medical Center , NY | $40,349 | — | 15754% |
| Jackson Purchase Medical Center , KY | $36,560 | — | 14265% |
| Newton Medical Center , NJ | $30,974 | $3,709 | 12070% |
| Georgetown Community Hospital , KY | $29,107 | — | 11336% |
| Franciscan Health Olympia Fields , IL | $28,520 | $5,704 | 11106% |
| "St. Mary's General Hospital" , NJ | $25,727 | $5,240 | 10008% |
| St. Francis Medical Center , CA | $25,096 | $5,662 | 9761% |
| Banner McKee Medical Center , CO | — | — | 8737% |
| Lake Cumberland Regional Hospital , CO | $21,773 | — | 8455% |
| Union Hospital Terre Haute Terre Haute, IN | $21,510 | — | 8352% |
| Astera Health , MN | $21,028 | $15,183 | 8162% |
| Castleview Hospital , UT | $19,675 | — | 7630% |
| Franciscan Health Rensselaer , IN | $19,514 | $8,020 | 7567% |
| Shasta Regional Medical Center , CA | $19,419 | $5,662 | 7530% |
Were you billed for this procedure?
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About CPT 52235
CPT code 52235 refers to “Cystoscopy and treatment”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $255 in a facility (hospital or ambulatory surgery center) and $255in 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.