CPT 55881 Surgery - Male Genital

How Much Does Ablt Trurl Prst8 Tissue Thrm US Cost?

Also known as: Ablt trurl prst8 tis thrm us (CPT 55881)

Ablt Trurl Prst8 Tissue Thrm US (CPT 55881) costs $430 at Medicare rates.

Medicare (Facility)
$430
CMS PFS 2026 national rate
Medicare (Office/Clinic)
$9,270
Non-facility setting

Procedures Commonly Done Together

These procedures are frequently performed alongside Ablt trurl prst8 tis thrm us

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How to Reduce Your Cost for Ablt trurl prst8 tis thrm us

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    For this procedure, the office rate ($9,270) differs from the facility rate ($430). Ask if it can be done in an office setting.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

9.56
Work RVU
2.06
Practice Expense RVU
1.24
Malpractice RVU
277.55
Total RVU

Payment = Total RVU (277.55) x CF ($33.40) = $9,270

Frequently Asked Questions

How much does Ablt trurl prst8 tis thrm us cost?

The Medicare facility rate for Ablt trurl prst8 tis thrm us is $430. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Ablt trurl prst8 tis thrm us cost without insurance?

Without insurance, the cost of Ablt trurl prst8 tis thrm us can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Ablt trurl prst8 tis thrm us?

Most commercial health insurance plans and Medicare cover Ablt trurl prst8 tis thrm us when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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