How much does Medicare pay for CPT 51102?

Medicare allowed an average of $146.72 per service and paid $113.91 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $842.56, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 51102?

Aspiration of bladder with insertion of bladder tube to skin. It was billed 1,270 times to 1,202 Medicare beneficiaries by 75 providers in 2024.

Does 51102 pay differently in an office than a hospital?

Yes. The allowed amount averaged $239.94 in an office setting and $130.12 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 51102 most?

Urology, with 514 services from 29 clinicians. Next are Diagnostic Radiology, Interventional Radiology, Obstetrics & Gynecology.

CPT 51102

Aspiration of bladder with insertion of bladder tube to skin

$146.72Medicare-allowed amount per service, averaged across 1,270 services

Providers submitted

$842.56

Asking price, not received

Medicare allowed

$146.72

The fee schedule figure

Medicare paid

$113.91

Balance is patient coinsurance

Providers submitted an average of $842.56 for this code and Medicare allowed $146.72 — 5.7× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $113.91 (78%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $239.94
Hospital / facility: $130.12

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 192 services were billed in an office setting and 1,078 in a facility.

Services: 1,270
Beneficiaries: 1,202
Providers billing it: 75
Total allowed: $186,334

What Medicare pays for CPT 51102

Across 1,270 services billed by 75 providers to 1,202 beneficiaries, Medicare allowed an average of $146.72 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 51102

Specialty	Services	Beneficiaries	Avg allowed	Providers
Urology	514	469	$117.92	29
Diagnostic Radiology	336	322	$161.01	23
Interventional Radiology	200	196	$175.14	14
Obstetrics & Gynecology	157	155	$69.44	5
Ambulatory Surgical Center	30	30	$732.70	2
Family Practice	22	19	$111.31	1
Physician Assistant	11	11	$115.22	1

51102 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Florida	103	$122.07	$90.72	7
Indiana	102	$66.62	$56.48	3
Texas	101	$150.35	$111.56	5
New York	100	$186.90	$135.06	6
Maryland	96	$345.87	$278.54	5
Tennessee	65	$73.18	$60.87	2
Ohio	64	$97.62	$77.50	4
California	62	$142.84	$105.29	4
New Jersey	49	$130.67	$95.24	4
Pennsylvania	48	$120.91	$87.55	3
Arkansas	47	$126.54	$109.68	4
South Carolina	45	$127.30	$102.39	3
Massachusetts	37	$213.68	$153.13	2
Missouri	37	$89.19	$74.93	2
Georgia	34	$105.93	$82.91	2
Minnesota	30	$135.73	$109.84	2
Oklahoma	27	$126.71	$105.73	2
Kentucky	25	$129.64	$101.41	1
Idaho	22	$111.31	$92.45	1
Arizona	22	$116.21	$85.18	2
Virginia	18	$267.01	$151.20	1
North Carolina	18	$208.59	$176.31	1
Mississippi	16	$129.55	$102.97	1
Vermont	15	$164.00	$109.90	1
Michigan	15	$239.27	$179.13	1
District of Columbia	13	$80.80	$54.72	1
Utah	13	$132.89	$93.56	1
Nebraska	13	$121.42	$105.62	1
Iowa	11	$129.08	$109.98	1
Connecticut	11	$145.10	$109.48	1
South Dakota	11	$140.43	$109.98	1

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.