How much does Medicare pay for CPT 52287?

Medicare allowed an average of $382.62 per service and paid $298.72 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $1573.12, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 52287?

Exam with injections of chemical for destruction of bladder using an endoscope. It was billed 57,471 times to 40,866 Medicare beneficiaries by 1,527 providers in 2024.

Does 52287 pay differently in an office than a hospital?

Yes. The allowed amount averaged $371.67 in an office setting and $394.44 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 52287 most?

Urology, with 33,644 services from 959 clinicians. Next are Obstetrics & Gynecology, Ambulatory Surgical Center, Undefined Physician type.

CPT 52287

Exam with injections of chemical for destruction of bladder using an endoscope

$382.62Medicare-allowed amount per service, averaged across 57,471 services

Providers submitted

$1573.12

Asking price, not received

Medicare allowed

$382.62

The fee schedule figure

Medicare paid

$298.72

Balance is patient coinsurance

Providers submitted an average of $1573.12 for this code and Medicare allowed $382.62 — 4.1× 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 $298.72 (78%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $371.67
Hospital / facility: $394.44

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 29,836 services were billed in an office setting and 27,635 in a facility.

Services: 57,471
Beneficiaries: 40,866
Providers billing it: 1,527
Total allowed: $21,989,554

What Medicare pays for CPT 52287

Across 57,471 services billed by 1,527 providers to 40,866 beneficiaries, Medicare allowed an average of $382.62 per service. That is 1.4 services per beneficiary, so this is a code patients typically receive more than once. 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 52287

Specialty	Services	Beneficiaries	Avg allowed	Providers
Urology	33,644	23,640	$279.76	959
Obstetrics & Gynecology	12,369	8,943	$314.56	349
Ambulatory Surgical Center	9,078	6,713	$879.05	169
Undefined Physician type	1,106	688	$342.84	12
Nurse Practitioner	597	419	$265.46	15
Physician Assistant	560	375	$244.64	17
General Surgery	71	51	$234.45	3
Gynecological Oncology	32	26	$413.47	2
Family Practice	14	11	$135.80	1

52287 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
California	6,129	$389.05	$262.55	136
Maryland	3,394	$527.05	$419.21	62
Florida	3,293	$423.51	$340.51	104
Texas	2,956	$374.75	$293.94	78
Pennsylvania	2,634	$417.53	$331.57	71
New York	2,519	$420.58	$295.77	65
Illinois	2,485	$338.80	$252.49	66
Ohio	2,435	$315.54	$258.06	69
Washington	2,046	$433.70	$310.06	43
South Carolina	1,671	$384.74	$318.20	43
Massachusetts	1,632	$333.81	$235.19	49
North Carolina	1,571	$330.67	$265.86	45
Tennessee	1,510	$394.38	$341.55	33
Missouri	1,508	$333.70	$276.51	31
New Jersey	1,475	$448.43	$319.90	45
Michigan	1,327	$330.67	$260.80	35
Virginia	1,308	$352.21	$282.80	39
Wisconsin	1,275	$249.99	$204.19	38
Nebraska	1,188	$505.75	$413.69	16
Georgia	1,158	$463.33	$373.87	40
Arizona	1,133	$416.51	$341.30	30
South Dakota	985	$264.13	$218.91	9
Indiana	873	$310.63	$255.42	29
Oregon	818	$425.72	$317.38	23
Colorado	790	$434.88	$333.87	27
Kansas	789	$306.12	$258.22	21
Minnesota	742	$333.33	$263.86	25
Arkansas	695	$394.69	$339.88	21
Mississippi	607	$428.77	$379.47	17
Nevada	583	$456.04	$367.26	13
Idaho	547	$346.50	$291.62	15
Iowa	509	$283.31	$238.41	17
Connecticut	498	$386.72	$275.96	18
Alabama	469	$298.54	$264.81	18
New Hampshire	450	$235.00	$177.92	14
Kentucky	437	$369.95	$304.35	14
District of Columbia	422	$423.87	$271.49	7
Oklahoma	410	$305.17	$256.26	18
Utah	402	$293.76	$235.61	13
Louisiana	357	$255.44	$208.63	17
Montana	342	$198.73	$150.03	13
Delaware	325	$467.42	$359.17	11
Maine	218	$203.59	$165.19	7
Vermont	130	$155.86	$126.69	3
West Virginia	115	$193.14	$152.11	6
Rhode Island	89	$247.05	$194.68	4
Wyoming	85	$477.58	$383.59	3
New Mexico	57	$316.47	$256.74	3
North Dakota	51	$219.12	$174.51	2
Hawaii	29	$145.21	$109.10	1

Related codes

52281Dilation of urethra$396.69
52224Destruction of growth of bladder and urethra$754.81
52235Destruction and/or removal of growth of bladder and urethra$613.17
52204Biopsy of bladder$415.75
52234Destruction and/or removal of growth of bladder and urethra$719.29
52240Destruction and/or removal of large growth of bladder$789.42
52214Destruction of tissue of bladder$622.35
52260Dilation of bladder$396.90

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.