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Package

Inpatient prostatectomy

Package

Inpatient prostatectomy

Inpatient transurethral prostatectomy is a minimally invasive surgery to remove part of the prostate gland, most often to relieve urinary symptoms caused by an enlarged prostate. Instead of external incisions, your surgeon passes a thin scope through the urethra (the tube that carries urine out of the body) and trims away the overgrown tissue, usually under general or spinal anesthesia. Because it is done in a hospital, you have a short stay with close monitoring, which is helpful if you have complex health needs. You use a catheter to drain urine for a short time afterward, then gradually return to normal activities. The goal is to restore normal urine flow while preserving urinary function as much as possible.
You'd pay up to
$33,376 / Case Rate

A single, all-inclusive pricing methodology for a procedure in healthcare contracts, instead of separate charges for each service.

The estimated total cost of care without any insurance coverage or discounts.

$33,376

Without insurance

What goes into a price?

Negotiated prices across insurers

Lowest
$16,884
Highest
$53,364
Cash price
up to $33,376

Self pay or cash prices vary by facility when paying out of pocket without insurance benefits. The chart shows you how the lowest and highest amounts facilities charge for this service if you were paying without insurance benefits. If you're uninsured or not submitting a claim to insurance, you also have the right to a Good Faith Estimate under federal law. Contact the provider for a copy of your Good Faith Estimate or to better understand payment options available to you.

Procedures included in this package

This list includes the services and fees bundled into the Inpatient prostatectomy Standard Service Package (SSP RE007). The final price for the procedure will depend on which services your provider ultimately performs, your insurance plan and your medical benefits.

Code Code Type Description
MS-DRG 713 Facility Fee TRANSURETHRAL PROSTATECTOMY WITH CC/MCC
Revenue Code 110 Facility Fee Room and Board Private (one bed) - General
HCPCS 52601 Professional Fee Electrosurgery of Prostate with Post-op Bleeding Control
HCPCS 99231 Professional Fee Subsequent Hospital Care, per Day, E&m Low Complexity with 15m Bedside

Disclaimer

Southern Ohio Medical Center is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.

In compliance with federal law, we provide a list of standard charges that are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient's unique needs.

You'd pay up to
$33,376 / Case Rate

A single, all-inclusive pricing methodology for a procedure in healthcare contracts, instead of separate charges for each service.

The estimated total cost of care without any insurance coverage or discounts.

Disclaimer

Southern Ohio Medical Center is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.

In compliance with federal law, we provide a list of standard charges that are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient's unique needs.

What’s the difference between an individual procedure and a Standard Service Package (SSP)?

Individual Procedure

Individual procedures, like blood tests, each have unique prices and billing codes (like a CPT or HCPCS code). While they can be billed alone, they're usually grouped with other procedures on a claim. This grouping is what determines the total cost of your care.

Standard Service Package (SSP)

A SSP combines all medical services, materials, and fees associated with a healthcare visit or procedure into a single bundle to offer a more comprehensive estimate.

Contact us to verify your estimate

Have your service name, codes, and payment preference ready. If you’re using insurance, you may be asked for insurance details like your Member or Group ID.

Service Inpatient prostatectomy
Service Codes MS-DRG 713, Revenue Code 110, HCPCS 52601, HCPCS 99231
Insurance I'm not using insurance
Location Southern Ohio Medical Center
When you contact us, you can say:
"Hi, I'm calling to verify a price for Inpatient prostatectomy I found through Southern Ohio Medical Center's price estimate tool. Here are the codes I’m looking at: MS-DRG 713, Revenue Code 110, HCPCS 52601, HCPCS 99231. I'm not using insurance, can you confirm the cash pay estimate and help me schedule if needed?"