How much does Medicare pay for CPT 51715?

Medicare allowed an average of $827.21 per service and paid $654.40 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $2846.02, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 51715?

Injection of implant material beneath lining of bladder and/or urethra using an endoscope. It was billed 7,245 times to 6,632 Medicare beneficiaries by 334 providers in 2024.

Does 51715 pay differently in an office than a hospital?

Yes. The allowed amount averaged $344.96 in an office setting and $934.35 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 51715 most?

Urology, with 2,490 services from 120 clinicians. Next are Obstetrics & Gynecology, Ambulatory Surgical Center, Undefined Physician type.

CPT 51715

Injection of implant material beneath lining of bladder and/or urethra using an endoscope

$827.21Medicare-allowed amount per service, averaged across 7,245 services

Providers submitted

$2846.02

Asking price, not received

Medicare allowed

$827.21

The fee schedule figure

Medicare paid

$654.40

Balance is patient coinsurance

Providers submitted an average of $2846.02 for this code and Medicare allowed $827.21 — 3.4× 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 $654.40 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $344.96
Hospital / facility: $934.35

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 1,317 services were billed in an office setting and 5,928 in a facility.

Services: 7,245
Beneficiaries: 6,632
Providers billing it: 334
Total allowed: $5,993,136

What Medicare pays for CPT 51715

Across 7,245 services billed by 334 providers to 6,632 beneficiaries, Medicare allowed an average of $827.21 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 51715

Specialty	Services	Beneficiaries	Avg allowed	Providers
Urology	2,490	2,258	$216.63	120
Obstetrics & Gynecology	2,386	2,194	$219.69	110
Ambulatory Surgical Center	2,309	2,123	$2130.31	100
Undefined Physician type	31	28	$272.41	2
Gynecological Oncology	16	16	$115.76	1
Nurse Practitioner	13	13	$28.19	1

51715 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	947	$743.99	$617.62	33
Texas	534	$781.57	$647.93	25
California	519	$943.72	$624.62	28
Maryland	476	$1098.38	$912.27	19
Tennessee	399	$801.87	$692.90	18
Pennsylvania	386	$1160.89	$942.40	13
Mississippi	318	$1125.05	$1025.05	10
North Carolina	271	$404.85	$333.96	13
New York	259	$851.44	$622.41	14
Nebraska	231	$1087.88	$886.89	6
Oklahoma	223	$685.39	$557.57	12
Missouri	214	$633.74	$525.44	10
South Carolina	204	$809.79	$713.49	11
Illinois	198	$789.04	$602.76	10
New Jersey	190	$1061.38	$802.89	10
Washington	178	$718.69	$514.16	9
Georgia	163	$807.80	$652.19	11
Michigan	150	$984.43	$809.54	6
Arizona	146	$734.14	$587.90	8
Virginia	129	$748.22	$637.17	5
Massachusetts	122	$507.75	$381.08	6
Kansas	117	$975.31	$843.15	5
Ohio	106	$924.22	$752.33	6
South Dakota	100	$459.75	$403.27	5
Arkansas	93	$1002.50	$878.48	5
Colorado	74	$903.51	$709.50	5
Idaho	72	$854.20	$734.05	3
New Hampshire	56	$191.26	$140.75	2
Minnesota	55	$568.48	$431.51	4
Oregon	55	$1037.28	$763.22	4
Wisconsin	52	$173.32	$139.99	3
Indiana	48	$208.19	$168.59	3
Nevada	40	$202.71	$161.12	2
Alabama	39	$712.48	$635.90	3
Louisiana	35	$137.37	$112.75	3
Hawaii	12	$187.38	$135.56	1
Utah	12	$193.14	$154.28	1
Iowa	11	$1978.33	$1762.53	1
Maine	11	$187.95	$142.54	1

Related codes

51798Ultrasound measurement of bladder capacity after voiding$11.33
51741Electronic assessment of bladder emptying$10.90
51702Simple insertion of temporary bladder tube$56.08
51700Simple bladder irrigation and/or instillation$62.89
51784Non-needle measurement and recording of electrical activity of muscles$32.26
51701Insertion of temporary bladder tube$41.58
51797Insertion of device into abdomen$155.21
51720Instillation of anti-cancer drug into bladder$79.02
51728Complex measurement of pressure of urine flow in bladder$308.93
51705Simple change of bladder tube$86.83
51729Complex measurement of pressure of urine flow in bladder$338.91
51703Complicated insertion of bladder tube$133.52

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.