Recent regulations require hospitals and health plans to publish prices of a subset of services. The hospital rule requires publication of “shoppable services,” those that can be scheduled in advance by a consumer. The Transparency in Coverage rule requires a list of 500 items and services to be published. Surgical removal of prostate and surrounding lymph nodes using an endoscope appears on both lists, and there is a standard service package available for it.
Prostatectomy is surgery to remove part or all of the prostate gland.It’s most commonly used as a treatment for prostate cancer. Less often, simple prostatectomy may be recommended for men with severe urinary symptoms and very enlarged prostate glands.
Prostatectomy can be performed in several ways, depending on the condition involved. This service package reflects the option of a minimally invasive surgery performed with robotic assistance. Traditional open surgery is rarely used, but would reflect a different set of services and thus a different service package. Additional patient complexity may require more services not represented in the service package. Your service utilization may vary for a number of reasons, including your unique clinical profile and where you receive your services.
This Service Package was generated using outpatient care setting claims. However, this service package may also be performed in the below care settings. Please confirm with your provider in which care setting you will receive services, as this may affect your cost.
- Inpatient: Discuss with your provider
- Outpatient facility: 100%
- Free standing ASC: 0%