Medicare TURP (Prostate Surgery) Cost 2026 | Out-of-Pocket Estimator
TURP (transurethral resection of the prostate, CPT 52601) is the standard Medicare procedure for BPH (enlarged prostate). It is most commonly performed as a same-day or 1-night inpatient stay.
2026 Medicare Cost Summary — TURP (Prostate Surgery) (CPT 52601)
Source: CMS 2026 MPFS, OPPS Final Rule, ASC Final Rule, IPPS. All amounts are national averages.
| Cost Component | Medicare-Approved Amount | Your Share (20%) |
|---|---|---|
| Surgeon Fee — TURP (Prostate Surgery) (CPT 52601) | $526 | $105 |
| Hospital Outpatient (HOPD) Facility Fee | $5,477 | $1,095 |
| Ambulatory Surgery Center (ASC) Facility Fee | $2,729 | $546 |
| Inpatient Hospital (DRG 714) — Medicare Pays | $7,694 | $1,736 Part A deductible |
| Anesthesia (estimated) | $300–$600 | 20% of approved |
What Medicare Pays
Medicare pays 80% of the approved amount for Part B services after your $283 annual deductible. With no supplemental insurance, you owe the remaining 20% with no annual out-of-pocket cap. With Medigap Plan G, you pay only the $283 Part B deductible — everything else is covered. With Medigap Plan N, you pay the $283 deductible plus a $20 copay per visit.
About This Calculator
MediCostCalc uses 2026 CMS official fee schedules — the Medicare Physician Fee Schedule (MPFS), Outpatient Prospective Payment System (OPPS), Ambulatory Surgical Center (ASC) Final Rule, and Inpatient Prospective Payment System (IPPS) — to give you a personalized, line-item cost estimate. No sign-up required. All data is from official CMS sources.
Does Medicare Cover Prostate Surgery (TURP)?
Yes. Medicare covers transurethral resection of the prostate (TURP, CPT 52601) as a medically necessary procedure for benign prostatic hyperplasia (BPH) or obstruction. It is one of the most common urologic surgeries for men over 65. Coverage falls under Part B (outpatient) or Part A (inpatient), depending on how long you stay in the hospital.
TURP Cost: ASC vs. Hospital vs. Inpatient
TURP is often performed as a 1-night stay, but same-day discharge at an ambulatory surgery center (ASC) is increasingly common for uncomplicated cases. Where you have surgery significantly affects your bill:
| Setting | Facility Fee | Your 20% |
|---|---|---|
| Ambulatory Surgery Center (ASC) | $2,800 | $560 |
| Hospital Outpatient Dept (HOPD) | $4,100 | $820 |
| Inpatient Hospital (DRG 714) | $7,694 bundled | $1,736 Part A deductible |
At an ASC, your total estimated out-of-pocket (facility + surgeon 20%) is roughly $654 without supplemental insurance. Choosing an ASC over a hospital outpatient department saves approximately $260. With Medigap Plan G, you pay only the $283 Part B deductible for outpatient TURP.
BPH Treatments: Is TURP the Only Option Medicare Covers?
No. Medicare also covers several newer minimally invasive treatments for BPH when medically necessary:
- UroLift (CPT 52441/52442) — Prostatic urethral lift; covered by Medicare since 2015
- Rezum (CPT 53852) — Water vapor therapy; covered by Medicare since 2018
- Laser TURP / HoLEP (CPT 52649) — Holmium laser enucleation; generally covered
Each has a different facility fee and out-of-pocket cost. Ask your urologist which is appropriate for your prostate size and whether your local hospital or ASC performs the procedure in-network.