# CPT 52240: Cystourethroscopy with fulguration/resection of large bladder tumor(s)

Medicare CPT 52240 pays $344.36 in a non-facility setting and $344.36 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $319.32 in Arkansas to $456.65 in Alaska, a 43% spread.

Web page: https://www.med-reveal.com/rates/52240-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Urology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $344.36 |
| National facility | $344.36 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $456.65 | $456.65 |
| New York | $375.26 | $375.26 |
| Florida | $374.63 | $374.63 |
| District of Columbia | $373.32 | $373.32 |
| Illinois | $371.82 | $371.82 |
| New Jersey | $368.19 | $368.19 |
| Connecticut | $361.18 | $361.18 |
| Washington | $354.95 | $354.95 |
| Massachusetts | $354.82 | $354.82 |
| Michigan | $353.12 | $353.12 |
| Maryland | $352.91 | $352.91 |
| California | $351.14 | $351.14 |
| West Virginia | $349.07 | $349.07 |
| Rhode Island | $347.83 | $347.83 |
| Georgia | $347.82 | $347.82 |
| Pennsylvania | $347.35 | $347.35 |
| New Mexico | $345.06 | $345.06 |
| Colorado | $344.73 | $344.73 |
| Puerto Rico | $344.64 | $344.64 |
| Virgin Islands | $344.64 | $344.64 |
| Montana | $344.30 | $344.30 |
| New Hampshire | $343.20 | $343.20 |
| Texas | $342.39 | $342.39 |
| Delaware | $341.56 | $341.56 |
| Oregon | $341.21 | $341.21 |
| Hawaii | $340.39 | $340.39 |
| Louisiana | $339.90 | $339.90 |
| Nevada | $339.13 | $339.13 |
| Ohio | $338.66 | $338.66 |
| Missouri | $338.23 | $338.23 |
| Arizona | $337.67 | $337.67 |
| Utah | $337.02 | $337.02 |
| Wyoming | $336.11 | $336.11 |
| South Carolina | $334.40 | $334.40 |
| Kentucky | $334.07 | $334.07 |
| Virginia | $333.87 | $333.87 |
| Oklahoma | $329.96 | $329.96 |
| Maine | $329.47 | $329.47 |
| North Carolina | $328.32 | $328.32 |
| Vermont | $328.00 | $328.00 |
| Mississippi | $326.56 | $326.56 |
| North Dakota | $325.52 | $325.52 |
| Minnesota | $324.01 | $324.01 |
| Tennessee | $323.44 | $323.44 |
| South Dakota | $323.29 | $323.29 |
| Indiana | $323.06 | $323.06 |
| Idaho | $322.16 | $322.16 |
| Kansas | $322.05 | $322.05 |
| Alabama | $322.03 | $322.03 |
| Wisconsin | $319.53 | $319.53 |
| Iowa | $319.41 | $319.41 |
| Nebraska | $319.35 | $319.35 |
| Arkansas | $319.32 | $319.32 |

## Related codes

- 50010: Renal exploration, not necessitating other specific procedures — https://www.med-reveal.com/rates/50010-cpt-fee-schedule
- 50060: Nephrolithotomy, removal of calculus — https://www.med-reveal.com/rates/50060-cpt-fee-schedule
- 50120: Pyelotomy, with exploration — https://www.med-reveal.com/rates/50120-cpt-fee-schedule
- 50200: Renal biopsy, percutaneous, needle — https://www.med-reveal.com/rates/50200-cpt-fee-schedule
- 50230: Nephrectomy, radical, transperitoneal or retroperitoneal — https://www.med-reveal.com/rates/50230-cpt-fee-schedule
- 50240: Nephrectomy, partial — https://www.med-reveal.com/rates/50240-cpt-fee-schedule
- 50250: Cryosurgical ablation of renal mass, percutaneous — https://www.med-reveal.com/rates/50250-cpt-fee-schedule
- 50320: Donor nephrectomy, open, from living donor — https://www.med-reveal.com/rates/50320-cpt-fee-schedule

Commercial negotiated rates for 52240 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules