Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants
Medicare pricing data for 384 providers across 39 states
This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants (HCPCS code C9740) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $6,914, but hospitals typically charge $20,471 — a 3.0x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $6,914, your out-of-pocket cost would be approximately $1,383. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.0x more than what Medicare allows for this procedure. Medicare actually pays $5,505 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $8,584 | $29,250 | 45 | 348 | +24.1% |
| Hawaii | $8,244 | $14,996 | 2 | 27 | +19.2% |
| New York | $7,750 | $21,133 | 8 | 121 | +12.1% |
| Washington | $7,693 | $15,145 | 6 | 116 | +11.3% |
| New Jersey | $7,539 | $27,278 | 12 | 100 | +9.0% |
| Massachusetts | $7,524 | $13,831 | 3 | 13 | +8.8% |
| Oregon | $7,380 | $23,075 | 7 | 96 | +6.7% |
| Delaware | $7,245 | $12,509 | 2 | 49 | +4.8% |
| Minnesota | $7,167 | $21,199 | 6 | 18 | +3.7% |
| Nevada | $7,152 | $20,612 | 4 | 22 | +3.4% |
| Illinois | $7,018 | $24,836 | 8 | 82 | +1.5% |
| Pennsylvania | $7,006 | $16,215 | 20 | 358 | +1.3% |
| Colorado | $6,973 | $26,093 | 8 | 189 | +0.9% |
| Virginia | $6,953 | $14,256 | 9 | 245 | +0.6% |
| Maryland | $6,945 | $22,081 | 22 | 765 | +0.4% |
| Nebraska | $6,943 | $23,161 | 6 | 117 | +0.4% |
| Idaho | $6,863 | $21,064 | 1 | 36 | -0.7% |
| Texas | $6,858 | $20,141 | 23 | 192 | -0.8% |
| Wyoming | $6,822 | $26,967 | 2 | 30 | -1.3% |
| Indiana | $6,811 | $32,760 | 12 | 51 | -1.5% |
| Arizona | $6,801 | $26,728 | 14 | 244 | -1.6% |
| Ohio | $6,797 | $11,661 | 8 | 186 | -1.7% |
| Georgia | $6,768 | $19,615 | 21 | 425 | -2.1% |
| Missouri | $6,759 | $15,200 | 5 | 106 | -2.2% |
| Wisconsin | $6,738 | $19,894 | 5 | 12 | -2.6% |
| Florida | $6,640 | $22,154 | 54 | 943 | -4.0% |
| Michigan | $6,581 | $12,810 | 6 | 53 | -4.8% |
| South Carolina | $6,560 | $14,439 | 8 | 187 | -5.1% |
| Kansas | $6,514 | $20,275 | 6 | 104 | -5.8% |
| Louisiana | $6,504 | $12,898 | 2 | 33 | -5.9% |
| Iowa | $6,487 | $20,224 | 3 | 29 | -6.2% |
| Arkansas | $6,474 | $16,899 | 2 | 62 | -6.4% |
| South Dakota | $6,460 | $9,858 | 1 | 12 | -6.6% |
| Kentucky | $6,449 | $14,192 | 5 | 122 | -6.7% |
| North Carolina | $6,402 | $31,085 | 2 | 31 | -7.4% |
| Oklahoma | $6,375 | $21,791 | 3 | 75 | -7.8% |
| Tennessee | $6,342 | $18,247 | 9 | 214 | -8.3% |
| Mississippi | $6,247 | $16,400 | 8 | 301 | -9.7% |
| Alabama | $6,243 | $20,760 | 6 | 20 | -9.7% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber
🏥 See Medicare hospital data on OpenMedicare