CPT 52204 Surgery - Urinary
Cystoscopy w/biopsy(s) Cost
Body System: Urinary
Medicare Facility Rate
$127
CMS PFS CY2026
Medicare Non-Facility Rate
$355
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
2.53
Work RVU
0.93
Facility PE RVU
0.34
Malpractice RVU
10.64
Total RVU
Frequently Asked Questions
How much does Cystoscopy w/biopsy(s) cost?
The Medicare facility rate is $127. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Cystoscopy w/biopsy(s) cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $127.