How much does Medicare pay for CPT 52332?

Medicare allowed an average of $224.05 per service and paid $176.40 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $1848.41, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 52332?

Insertion of stent in ureter using an endoscope. It was billed 98,114 times to 80,049 Medicare beneficiaries by 3,949 providers in 2024.

Does 52332 pay differently in an office than a hospital?

Yes. The allowed amount averaged $193.67 in an office setting and $224.21 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 52332 most?

Urology, with 88,862 services from 3,720 clinicians. Next are Ambulatory Surgical Center, General Surgery, Nurse Practitioner.

CPT 52332

Insertion of stent in ureter using an endoscope

$224.05Medicare-allowed amount per service, averaged across 98,114 services

Providers submitted

$1848.41

Asking price, not received

Medicare allowed

$224.05

The fee schedule figure

Medicare paid

$176.40

Balance is patient coinsurance

Providers submitted an average of $1848.41 for this code and Medicare allowed $224.05 — 8.2× 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 $176.40 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $193.67
Hospital / facility: $224.21

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 495 services were billed in an office setting and 97,619 in a facility.

Services: 98,114
Beneficiaries: 80,049
Providers billing it: 3,949
Total allowed: $21,982,442

What Medicare pays for CPT 52332

Across 98,114 services billed by 3,949 providers to 80,049 beneficiaries, Medicare allowed an average of $224.05 per service. That is 1.2 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 52332

Specialty	Services	Beneficiaries	Avg allowed	Providers
Urology	88,862	73,409	$129.53	3,720
Ambulatory Surgical Center	8,791	6,234	$1184.21	209
General Surgery	171	153	$147.66	9
Nurse Practitioner	79	71	$155.22	2
Family Practice	48	30	$136.70	1
Obstetrics & Gynecology	41	41	$112.87	1
Colorectal Surgery (Proctology)	34	33	$113.37	2
Internal Medicine	24	20	$105.43	1
Gynecological Oncology	19	19	$73.12	1
Osteopathic Manipulative Medicine	16	14	$125.80	1
Surgical Oncology	16	13	$129.01	1
Neurology	13	12	$146.08	1

52332 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	7,425	$303.04	$244.41	291
Illinois	5,236	$217.36	$163.20	182
Pennsylvania	5,235	$181.99	$141.51	210
California	4,928	$270.50	$182.73	221
Ohio	4,094	$223.91	$179.97	165
New York	4,046	$181.52	$125.60	180
Texas	3,959	$205.45	$162.56	190
Indiana	3,955	$204.10	$165.87	131
New Jersey	3,593	$215.44	$153.87	141
Virginia	3,423	$250.42	$200.96	126
Tennessee	3,020	$273.68	$232.39	119
Michigan	2,905	$154.33	$116.25	125
Missouri	2,853	$237.03	$196.88	109
Maryland	2,769	$422.05	$339.26	91
Georgia	2,651	$256.66	$203.13	114
Massachusetts	2,575	$174.05	$123.02	110
North Carolina	2,570	$170.60	$134.35	128
South Carolina	2,275	$206.04	$169.32	84
Arizona	2,248	$217.01	$172.11	86
Oklahoma	2,054	$123.78	$96.98	71
Mississippi	1,925	$343.86	$315.06	55
Wisconsin	1,782	$157.79	$127.21	76
Iowa	1,648	$264.69	$227.21	56
Minnesota	1,626	$171.92	$133.49	73
Kentucky	1,623	$161.39	$127.64	64
Washington	1,579	$175.89	$129.42	75
Kansas	1,511	$251.54	$209.26	52
Arkansas	1,475	$202.56	$170.60	42
Louisiana	1,252	$148.43	$117.73	55
Colorado	1,141	$332.23	$260.81	54
Alabama	1,104	$176.46	$150.15	58
Nebraska	1,077	$225.56	$185.88	43
Oregon	950	$262.33	$192.96	41
Connecticut	743	$138.02	$96.96	39
Idaho	668	$233.21	$192.93	30
Montana	658	$185.62	$143.29	23
South Dakota	653	$205.85	$170.79	19
West Virginia	626	$137.83	$102.46	26
New Hampshire	621	$132.79	$98.44	28
Utah	587	$197.26	$154.29	26
Delaware	535	$215.74	$161.13	19
Nevada	419	$232.05	$182.18	23
Maine	343	$124.05	$93.34	17
North Dakota	336	$129.36	$100.08	10
New Mexico	278	$198.81	$157.38	14
Alaska	258	$303.33	$172.13	11
District of Columbia	225	$123.03	$84.76	11
Vermont	222	$131.98	$105.61	12
Wyoming	166	$327.02	$263.06	7
Hawaii	133	$137.44	$102.93	8
Rhode Island	120	$134.66	$103.04	7
ZZ	16	$111.28	$90.92	1

Related codes

52356Crushing of stone of ureter$687.05
52310Simple removal of foreign body$344.09
52352Removal or manipulation of stone in ureter or kidney$408.05
52351Diagnostic exam of bladder$704.52
52353Crushing of stone of ureter$739.44
52317Crushing, fragmenting, and removal of bladder stones, less than 2.5 cm$838.39
52315Complicated removal of foreign body$464.15

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.