How Much Does a Cystoscopy Cost in Illinois?
Cystourethroscopy
$216.66In-office total2026 Medicare, Illinois averageUnder 2026 Medicare rates, a cystoscopy in a doctor's office costs about $217 in Illinois, from $206 in Rest of Illinois to $226 in Suburban Chicago, with no separate facility fee. In a facility the national total is about $784 at a hospital outpatient department or about $382 at an ambulatory surgery center, because the facility is paid its own rate on top of the physician.
- ✓Your ZIP's wage-adjusted hospital and surgery center rates
- ✓Five nearby hospitals by name, with CMS star ratings
- ✓The add-on codes that typically land on the bill
- ✓A word-for-word script for asking for a good-faith estimate
- ✓A private link you can reopen and share
- ✓Everything in the Premium report
- ✓15 nearby hospitals instead of five
- ✓Filled good-faith-estimate request letter
- ✓Bill-negotiation letter
- ✓Printable PDF download
Illinois Medicare physician rate (2026)
+0.4% vs nationalAverage of 4 localities. Office range $205.67–$225.58.
What it costs in a hospital or surgery center
In a doctor’s office, the office rate above is the whole Medicare payment. When the same procedure is done in a hospital or surgery center, the facility bills its own fee on top of the physician, which is what these totals show. They are 2026 national Medicare amounts.
Choosing a surgery center over a hospital saves about $402 on the Medicare allowed amount for cystoscopy. Ask whether your procedure can be done at an ambulatory surgery center.
Medicare pays the hospital a single comprehensive amount for this procedure, covering the facility's share of the encounter including implants and supplies. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.
Your ZIP in Illinois
Enter a ZIP code to see which Illinois locality applies to you, whether Chicago proper, the suburban collar counties, the Metro East near St. Louis, or downstate cities like Springfield, Peoria, and Champaign.
What cystoscopy costs at hospitals near you
Everything above is a national average. The hospital you pick in Illinois moves the bill more than anything else you control.
Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.
For example 60001.
One-off payment, no account and no subscription. You get a private link and an email. No medical records and no insurance card, ever.
What these numbers are
Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery center rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again. In Illinois the office and hospital physician lines for this CPT differ by $139.75.
National vs Illinois
Where Illinois ranks for this CPT
CPT 52000 by Illinois locality
| Locality | Office |
|---|---|
| suburban chicago | $225.58 |
| chicago | $225.57 |
| east st. louis | $209.80 |
| rest of illinois | $205.67 |
PE GPCI ranges from 0.913 to 1.027 in Illinois. That index is why the same CPT is not one price statewide.
Cystoscopy and how Illinois is priced
Illinois uses one of the more detailed locality maps in the Midwest: Chicago has its own locality, the suburban collar counties are priced separately, the East St. Louis area carries its own locality tied to the St. Louis market, and the rest of the state shares a fourth. Approved amounts step down noticeably from the city and suburbs to downstate, so the same procedure prices differently in Chicago, Naperville, Belleville, and Springfield. This four-way split makes Illinois one of the states where a ZIP-level check genuinely changes the answer. Downstate rates align more closely with neighboring rural states than with Chicagoland.
Chicago is one of the country's great medical hubs, with multiple academic medical centers and deep specialist supply, and its suburbs support large competing systems of their own. Downstate Illinois is a different market: smaller cities like Peoria, Springfield, and Champaign serve wide rural areas, and the Metro East suburbs orient toward St. Louis providers. Where you sit on that map shapes both price and choice.
This procedure: A cystoscopy lets a urologist look inside the urethra and bladder with a thin scope passed through the urethra. It is used to investigate blood in the urine, repeated infections or bladder symptoms, and to check for bladder tumors. A diagnostic cystoscopy is usually done in the urologist's office with numbing gel and a flexible scope; it takes about 5 to 15 minutes and you go home straight afterward.
What Is Cystoscopy?
A cystoscopy lets a urologist look inside the urethra and bladder with a thin scope passed through the urethra. It is used to investigate blood in the urine, repeated infections or bladder symptoms, and to check for bladder tumors. A diagnostic cystoscopy is usually done in the urologist's office with numbing gel and a flexible scope; it takes about 5 to 15 minutes and you go home straight afterward.
What Affects the Cost
- –Where it is done makes a large difference: in a urologist's office one physician fee covers the room and equipment, while a hospital or surgery center adds its own facility payment.
- –Taking a biopsy, removing a stone, or placing or removing a stent turns it into a different, higher-paying procedure code.
- –Sedation or general anesthesia, more common with a rigid scope in a hospital, is billed separately.
- –A urine test or culture on the same day is billed by the lab.
- –An office visit on the same day can be billed separately if a separate problem is evaluated.
Questions to Ask Before Booking
- 1.Can this be done in your office rather than a hospital or surgery center?
- 2.Will you take a biopsy or do any treatment during the scope, and how would that change the cost?
- 3.Is sedation needed, and is it billed separately?
- 4.Will I receive a separate facility bill?
- 5.Are any lab tests being sent, and to which lab?
Other featured procedures in Illinois
Cystoscopy in other states
Cystoscopy in Illinois: questions
Under 2026 Medicare rates, a cystoscopy in a doctor's office costs about $217 in Illinois, from $206 in Rest of Illinois to $226 in Suburban Chicago, with no separate facility fee. In a facility the national total is about $784 at a hospital outpatient department or about $382 at an ambulatory surgery center, because the facility is paid its own rate on top of the physician. Enter a ZIP for the exact Illinois locality.
Yes. CMS splits Illinois into 4 payment localities. For this CPT the office physician fee spans $19.91 from the lowest to highest locality. Enter a ZIP code to see which Illinois locality applies to you, whether Chicago proper, the suburban collar counties, the Metro East near St. Louis, or downstate cities like Springfield, Peoria, and Champaign.
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $43 for the office physician line or $15 for the hospital physician line in Illinois. Medigap may cover that 20%. This is not the hospital facility fee.
In a doctor's office, $216.66 is Medicare's whole payment in Illinois: it covers the physician, the room and the supplies, with no separate facility fee. If it is done in a hospital outpatient department instead, the physician is paid about $76.91 and the hospital adds its own facility payment, bringing the national total to about $784. Services billed under other codes, such as lab work, are extra. Illinois ranks #37 of 51 states on the office rate (within 2% of the national office rate of $215.77).