How much does Medicare pay for CPT 51600?

Medicare allowed an average of $85.27 per service and paid $67.45 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $694.36, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 51600?

Injection procedure for imaging of bladder during voiding. It was billed 8,248 times to 8,000 Medicare beneficiaries by 242 providers in 2024.

Does 51600 pay differently in an office than a hospital?

Yes. The allowed amount averaged $114.82 in an office setting and $27.27 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 51600 most?

Urology, with 6,912 services from 186 clinicians. Next are Diagnostic Radiology, Nurse Practitioner, Physician Assistant.

CPT 51600

Injection procedure for imaging of bladder during voiding

$85.27Medicare-allowed amount per service, averaged across 8,248 services

Providers submitted

$694.36

Asking price, not received

Medicare allowed

$85.27

The fee schedule figure

Medicare paid

$67.45

Balance is patient coinsurance

Providers submitted an average of $694.36 for this code and Medicare allowed $85.27 — 8.1× 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 $67.45 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $114.82
Hospital / facility: $27.27

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. 5,464 services were billed in an office setting and 2,784 in a facility.

Services: 8,248
Beneficiaries: 8,000
Providers billing it: 242
Total allowed: $703,307

What Medicare pays for CPT 51600

Across 8,248 services billed by 242 providers to 8,000 beneficiaries, Medicare allowed an average of $85.27 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 51600

Specialty	Services	Beneficiaries	Avg allowed	Providers
Urology	6,912	6,710	$92.94	186
Diagnostic Radiology	621	579	$52.32	34
Nurse Practitioner	359	358	$29.33	7
Physician Assistant	306	303	$46.78	12
Surgical Oncology	27	27	$24.86	1
Undefined Physician type	12	12	$129.69	1
Obstetrics & Gynecology	11	11	$119.54	1

51600 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
Texas	1,298	$88.16	$73.48	33
California	1,050	$95.07	$64.11	27
New York	803	$102.17	$68.29	19
Florida	623	$127.77	$104.59	13
Pennsylvania	469	$49.10	$38.07	13
New Jersey	463	$116.89	$79.42	10
Mississippi	432	$112.94	$98.30	11
Virginia	309	$60.26	$46.10	8
Washington	294	$41.47	$31.48	10
South Carolina	285	$54.64	$43.09	6
North Carolina	225	$83.95	$73.40	8
Maryland	214	$22.39	$17.17	6
Massachusetts	212	$47.48	$32.49	7
Illinois	167	$69.72	$50.77	8
Kansas	166	$108.13	$94.20	7
Iowa	156	$49.13	$31.17	6
Ohio	112	$79.35	$68.95	6
Arizona	83	$127.31	$95.34	3
District of Columbia	77	$63.11	$41.27	2
Kentucky	72	$43.94	$37.71	4
Oregon	68	$52.87	$41.85	3
Connecticut	66	$104.87	$73.86	3
Alabama	64	$62.62	$54.66	3
Tennessee	60	$150.31	$130.73	3
Minnesota	55	$120.20	$97.00	2
Indiana	54	$128.15	$108.53	2
Louisiana	54	$45.41	$36.86	2
West Virginia	48	$21.21	$16.76	2
New Hampshire	45	$21.85	$16.24	2
Michigan	42	$22.97	$17.05	3
Missouri	31	$65.92	$56.81	2
Delaware	31	$20.15	$16.39	1
Colorado	31	$42.40	$33.36	1
Nebraska	26	$173.18	$144.76	2
Georgia	21	$187.08	$160.59	1
Arkansas	16	$37.43	$33.30	1
Oklahoma	14	$40.22	$27.52	1
New Mexico	12	$43.65	$27.77	1

Related codes

51610Injection procedure through bladder and urethra for x-ray imaging$56.34

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.