Table 3. Cash Fee, Medicaid, Medicare, and Private Insurance Prices for Cystourethroscopy, Prostate Biopsy, Prostatectomy, Transurethral Resection of the Prostate, and Ureteroscopy With Laser Lithotripsy.
| Procedure and insurance type (CPT code) | Price, median (IQR), $ |
|---|---|
| Cystourethroscopy (52000) | |
| Commercial | 1179 (766-1728) |
| Medicaid | 757 (440-1147) |
| Medicare | 572 (534-606) |
| Cash | 1073 (591-1308) |
| Prostate biopsy (55700) | |
| Commercial | 2465 (1740-3747) |
| Medicaid | 1081 (667-1711) |
| Medicare | 1784 (1667-1890) |
| Cash | 2149 (1284-3392) |
| Prostatectomy (55866) | |
| Commercial | 8894 (7838-13 631) |
| Medicaid | 3559 (2882-5353) |
| Medicare | 8891 (8306-9391) |
| Cash | 11 044 (4434-25 555) |
| Transurethral resection of the prostate (52601) | |
| Commercial | 5666 (4264-8209) |
| Medicaid | 2894 (1770-3017) |
| Medicare | 4392 (4116-4771) |
| Cash | 6445 (4034-12 054) |
| Ureteroscopy with laser lithotripsy (52353) | |
| Commercial | 5962 (4103-8084) |
| Medicaid | 1746 (1055-2547) |
| Medicare | 4392 (4100-5122) |
| Cash | 4784 (3085-9812) |
Abbreviation: CPT, Current Procedural Terminology.