How much does Medicare pay for CPT 52648?

Medicare allowed an average of $1041.49 per service and paid $824.98 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $6144.19, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 52648?

Complete laser vaporization of prostate including control of bleeding using an endoscope. It was billed 8,737 times to 8,689 Medicare beneficiaries by 416 providers in 2024.

Does 52648 pay differently in an office than a hospital?

Yes. The allowed amount averaged $1256.80 in an office setting and $1037.47 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 52648 most?

Urology, with 6,956 services from 359 clinicians. Next are Ambulatory Surgical Center.

CPT 52648

Complete laser vaporization of prostate including control of bleeding using an endoscope

$1041.49Medicare-allowed amount per service, averaged across 8,737 services

Providers submitted

$6144.19

Asking price, not received

Medicare allowed

$1041.49

The fee schedule figure

Medicare paid

$824.98

Balance is patient coinsurance

Providers submitted an average of $6144.19 for this code and Medicare allowed $1041.49 — 5.9× 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 $824.98 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $1256.80
Hospital / facility: $1037.47

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. 160 services were billed in an office setting and 8,577 in a facility.

Services: 8,737
Beneficiaries: 8,689
Providers billing it: 416
Total allowed: $9,099,498

What Medicare pays for CPT 52648

Across 8,737 services billed by 416 providers to 8,689 beneficiaries, Medicare allowed an average of $1041.49 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 52648

Specialty	Services	Beneficiaries	Avg allowed	Providers
Urology	6,956	6,917	$693.33	359
Ambulatory Surgical Center	1,781	1,772	$2401.29	57

52648 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
Maryland	735	$1555.55	$1227.82	29
Illinois	707	$1030.80	$793.84	33
Ohio	677	$868.45	$724.75	28
Florida	670	$1084.57	$881.28	31
California	498	$1010.20	$698.27	30
New York	491	$1405.36	$964.72	22
Arizona	437	$1329.56	$1066.70	19
Virginia	422	$1217.80	$1004.68	16
Texas	375	$958.51	$780.08	22
Oklahoma	319	$695.58	$599.39	16
Missouri	204	$664.88	$529.58	8
Mississippi	200	$1319.43	$1140.15	6
Pennsylvania	195	$816.03	$632.55	12
New Jersey	191	$862.47	$611.05	14
Colorado	186	$1395.40	$1103.00	10
Kansas	174	$633.13	$530.20	8
Indiana	172	$1059.88	$875.38	8
North Carolina	167	$1265.42	$1063.12	5
Iowa	165	$1068.38	$904.48	7
Georgia	149	$673.04	$527.25	7
Massachusetts	149	$721.49	$531.87	8
New Hampshire	149	$680.98	$527.25	5
South Carolina	145	$1070.64	$882.00	8
Louisiana	113	$661.81	$531.61	6
Arkansas	101	$938.65	$797.38	4
Minnesota	94	$666.21	$532.77	5
Wisconsin	67	$633.37	$535.32	5
Kentucky	62	$642.54	$534.17	3
Tennessee	57	$994.82	$876.33	4
Maine	54	$648.68	$525.70	4
Delaware	53	$1435.38	$1105.37	3
Nebraska	47	$601.65	$534.10	3
Nevada	45	$645.09	$538.15	2
Washington	45	$1709.91	$1321.98	2
Michigan	44	$682.02	$526.31	2
West Virginia	41	$692.10	$533.16	2
New Mexico	41	$685.07	$532.04	1
Connecticut	39	$720.81	$532.66	3
Alabama	39	$612.58	$543.82	3
Oregon	38	$649.10	$537.43	2
Montana	37	$663.54	$534.56	1
Vermont	31	$630.39	$543.14	2
Idaho	25	$645.59	$522.35	2
Utah	22	$659.23	$540.34	1
North Dakota	21	$656.38	$533.27	1
Puerto Rico	19	$1668.35	$1912.40	1
Hawaii	13	$639.68	$548.93	1
South Dakota	12	$643.35	$532.01	1

Related codes

52601Removal of prostate gland$977.95
52649Complete laser fragmentation of prostate including control of bleeding$829.19

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.