How much does Medicare pay for CPT 52441?

Medicare allowed an average of $492.32 per service and paid $389.58 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $2545.46, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 52441?

Insertion of implant in urethra within prostate gland using an endoscope, 1 implant. It was billed 7,077 times to 7,039 Medicare beneficiaries by 359 providers in 2024.

Does 52441 pay differently in an office than a hospital?

Yes. The allowed amount averaged $1292.15 in an office setting and $197.51 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 52441 most?

Urology, with 7,052 services from 358 clinicians. Next are Osteopathic Manipulative Medicine.

CPT 52441

Insertion of implant in urethra within prostate gland using an endoscope, 1 implant

$492.32Medicare-allowed amount per service, averaged across 7,077 services

Providers submitted

$2545.46

Asking price, not received

Medicare allowed

$492.32

The fee schedule figure

Medicare paid

$389.58

Balance is patient coinsurance

Providers submitted an average of $2545.46 for this code and Medicare allowed $492.32 — 5.2× 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 $389.58 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $1292.15
Hospital / facility: $197.51

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. 1,906 services were billed in an office setting and 5,171 in a facility.

Services: 7,077
Beneficiaries: 7,039
Providers billing it: 359
Total allowed: $3,484,149

What Medicare pays for CPT 52441

Across 7,077 services billed by 359 providers to 7,039 beneficiaries, Medicare allowed an average of $492.32 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 52441

Specialty	Services	Beneficiaries	Avg allowed	Providers
Urology	7,052	7,014	$493.46	358
Osteopathic Manipulative Medicine	25	25	$172.60	1

52441 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	793	$287.54	$221.45	37
California	697	$1084.77	$727.15	30
Maryland	407	$211.81	$157.87	19
Georgia	386	$298.55	$241.84	22
New Jersey	377	$842.92	$599.56	13
Arizona	352	$699.79	$563.51	19
Texas	319	$613.20	$494.48	19
Virginia	290	$188.12	$146.28	14
Tennessee	288	$434.22	$359.70	16
Ohio	261	$258.90	$207.35	15
Washington	248	$341.24	$249.93	13
New York	231	$1064.84	$724.51	10
Illinois	212	$719.29	$520.30	11
Pennsylvania	202	$204.51	$158.62	11
South Carolina	196	$337.21	$264.72	11
North Carolina	171	$382.58	$304.14	8
Mississippi	149	$188.00	$152.30	7
Michigan	146	$762.55	$636.49	7
Oregon	138	$611.50	$450.01	8
Indiana	123	$300.89	$252.55	5
Missouri	110	$298.50	$248.99	6
Colorado	107	$335.83	$251.34	7
Arkansas	96	$181.24	$154.20	6
Oklahoma	92	$186.88	$155.44	4
Kansas	92	$187.77	$150.88	5
Nebraska	78	$373.57	$334.48	5
Louisiana	50	$520.95	$439.51	3
Delaware	48	$205.85	$148.63	3
Idaho	45	$175.01	$153.72	2
Alabama	42	$178.07	$143.91	2
South Dakota	38	$189.93	$158.95	2
Iowa	38	$1141.38	$975.99	3
Massachusetts	34	$203.59	$152.56	2
Alaska	30	$1312.64	$982.98	2
Vermont	30	$193.56	$157.92	1
New Hampshire	27	$844.58	$642.98	2
Connecticut	20	$1322.20	$950.83	1
Wisconsin	19	$186.67	$145.93	1
Maine	18	$183.07	$144.10	1
District of Columbia	14	$212.15	$143.82	1
Montana	14	$196.44	$132.27	1
Kentucky	13	$201.85	$160.68	1
Utah	12	$196.79	$160.63	1
Hawaii	12	$185.05	$147.06	1
West Virginia	12	$190.69	$153.79	1

Related codes

52442Insertion of implant in urethra within prostate gland$313.72

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.