CPT 55711 Surgery - Male Genital

Bx prst8 trct mri-us 1st Cost

Body System: Reproductive

Medicare Facility Rate
$136
CMS PFS CY2026
Medicare Non-Facility Rate
$367
Office/clinic setting
Hospital Outpatient
$3
OPPS rate
Surgery Center (ASC)
$1
ASC rate

Relative Value Units (RVUs)

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

2.61
Work RVU
1.10
Facility PE RVU
0.35
Malpractice RVU
11.00
Total RVU

Frequently Asked Questions

How much does Bx prst8 trct mri-us 1st cost?

The Medicare facility rate is $136. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $3. Ambulatory surgery center rate: $1.

How much does Bx prst8 trct mri-us 1st 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 $136.

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