Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Cysto W/Ureteroscopy W/Lithotripsy
Utica, NY
See all hospitals reporting CPT 52353 →Price type
MVHS, Inc.’s median price of $25 is 100% below the median hospital's median price ($5.4k), higher than 0% of the 1,958 hospitals reporting CPT 52353. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 24 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Excellus excellus bcbs medicaid hmo fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 2 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 3 | Medical Mutual worker's compensation and no fault fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 4 | UnitedHealthcare uhc medicare advantage percent of total billed charges · inpatientfrom % of charges | $108 | $108 | — | — | — | $108 – $108 |
| 5 | Aetna aetna medicare advantage fee schedule · both | $166 | $166 | — | — | — | $166 – $166 |
| 6 | Medicare medicare fee schedule · both | $166 | $166 | — | — | — | $166 – $166 |
| 7 | WellCare wellcare fee schedule · both | $170 | $170 | — | — | — | $170 – $170 |
| 8 | Humana humana military fee schedule · inpatient | $172 | $172 | — | — | — | $172 – $172 |
| 9 | Tricare humana military fee schedule · inpatient | $172 | $172 | — | — | — | $172 – $172 |
| 10 | Humana choicecare fee schedule · both | $181 | $181 | — | — | — | $181 – $181 |
| 11 | Humana humana medicare advantage fee schedule · both | $181 | $181 | — | — | — | $181 – $181 |
| 12 | Cigna mvp hmo/ppo fee schedule · both | $255 | $255 | — | — | — | $255 – $255 |
| 13 | Blue Cross Blue Shield excellus bcbs federal fee schedule · both | $308 | $308 | — | — | — | $308 – $308 |
| 14 | Humana humana military other · outpatient | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 15 | Tricare humana military other · outpatient | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 16 | Excellus excellus bcbs medicare advantage other · outpatient | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 17 | Humana humana medicare advantage other · outpatient | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 18 | Medicare medicare other · outpatient | $6.7k | $6.7k | — | — | 1–10 | $6.7k – $6.7k |
| 19 | Optum vaccn optum other · outpatient | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 20 | UnitedHealthcare uhc medicare advantage other · outpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 21 | Aetna aetna medicare advantage other · outpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 22 | WellCare wellcare medicare advantage other · outpatient | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 23 | UnitedHealthcare uhc commercial fee schedule · outpatient | $8.5k | $8.5k | — | — | — | $8.5k – $8.5k |
| 24 | Cigna mvp and cigna commercial other · outpatient | $19.2k | $19.2k | — | — | — | $19.2k – $19.2k |
Last updated: Aug 7, 2026
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