How much does Medicare pay for CPT 51725?

Medicare allowed an average of $165.67 per service and paid $126.85 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $536.65, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 51725?

Simple measurement of pressure of urine flow in bladder. It was billed 7,710 times to 7,042 Medicare beneficiaries by 160 providers in 2024.

Does 51725 pay differently in an office than a hospital?

Yes. The allowed amount averaged $180.13 in an office setting and $75.33 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 51725 most?

Obstetrics & Gynecology, with 3,737 services from 76 clinicians. Next are Urology, Nurse Practitioner, Undefined Physician type.

CPT 51725

Simple measurement of pressure of urine flow in bladder

$165.67Medicare-allowed amount per service, averaged across 7,710 services

Providers submitted

$536.65

Asking price, not received

Medicare allowed

$165.67

The fee schedule figure

Medicare paid

$126.85

Balance is patient coinsurance

Providers submitted an average of $536.65 for this code and Medicare allowed $165.67 — 3.2× 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 $126.85 (77%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $180.13
Hospital / facility: $75.33

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. 6,646 services were billed in an office setting and 1,064 in a facility.

Services: 7,710
Beneficiaries: 7,042
Providers billing it: 160
Total allowed: $1,277,316

What Medicare pays for CPT 51725

Across 7,710 services billed by 160 providers to 7,042 beneficiaries, Medicare allowed an average of $165.67 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 51725

Specialty	Services	Beneficiaries	Avg allowed	Providers
Obstetrics & Gynecology	3,737	3,638	$179.89	76
Urology	2,420	2,165	$158.29	60
Nurse Practitioner	1,078	767	$158.74	17
Undefined Physician type	177	177	$79.97	1
Physician Assistant	84	84	$72.16	2
Ambulatory Surgical Center	74	73	$60.03	2
Gynecological Oncology	72	72	$210.92	1
Internal Medicine	68	66	$161.91	1

51725 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	964	$193.61	$155.95	10
California	748	$157.05	$108.36	24
New York	736	$240.56	$164.04	11
Ohio	549	$185.79	$143.59	10
Florida	534	$192.97	$151.67	10
New Jersey	475	$199.15	$131.61	4
South Carolina	468	$129.21	$106.64	6
Massachusetts	402	$146.76	$105.25	10
South Dakota	399	$71.77	$54.88	5
Pennsylvania	239	$133.28	$107.34	7
Kentucky	219	$132.42	$111.86	4
Maryland	196	$137.72	$99.42	6
Arizona	187	$209.46	$167.84	3
Wisconsin	178	$63.51	$52.76	4
Tennessee	164	$125.53	$108.65	3
Oregon	137	$84.17	$57.43	2
Michigan	119	$91.96	$73.44	2
Nevada	118	$211.89	$172.32	3
Illinois	112	$176.95	$134.39	4
North Carolina	112	$177.44	$138.41	3
Kansas	104	$197.80	$162.02	3
Colorado	77	$193.93	$144.38	4
Virginia	77	$109.07	$82.65	3
Connecticut	62	$188.46	$129.68	3
Georgia	57	$158.93	$126.50	2
Washington	45	$149.03	$99.97	3
Vermont	36	$110.91	$95.01	1
District of Columbia	35	$220.56	$151.08	1
Oklahoma	27	$204.19	$169.40	1
Mississippi	26	$102.81	$91.27	1
West Virginia	23	$72.28	$58.25	1
Alabama	20	$68.58	$55.67	1
Arkansas	17	$104.20	$83.65	1
Nebraska	13	$195.64	$147.31	1
Idaho	13	$108.19	$89.12	1
Iowa	11	$105.92	$91.65	1
Indiana	11	$103.12	$89.20	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.