CPT 55605 Surgery - Male Genital

Vesiculotomy complicated Cost

Body System: Reproductive

Medicare Facility Rate
$482
CMS PFS CY2026
Medicare Non-Facility Rate
$482
Office/clinic setting

Relative Value Units (RVUs)

Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)

8.54
Work RVU
4.79
Facility PE RVU
1.10
Malpractice RVU
14.43
Total RVU

Frequently Asked Questions

How much does Vesiculotomy complicated cost?

The Medicare facility rate is $482. Commercial insurance typically pays 150-250% of Medicare rates (varies).

How much does Vesiculotomy complicated cost without insurance?

Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $482.

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