Tprnl focal abltj mal prst8
Transperineal focal ablation for prostate cancer costs range from $2,522 to $5,084 depending on whether treatment occurs at an ambulatory surgery center or hospital outpatient facility, making bill verification essential.
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
This procedure uses targeted energy to destroy cancerous tissue in the prostate through the perineum (area between scrotum and anus), offering a less invasive alternative to traditional surgery. Male patients with localized prostate cancer who want to preserve surrounding healthy tissue typically receive this treatment. Code 0655T is a Category III (temporary) CPT code, meaning reimbursement policies vary significantly between insurers and require careful verification before scheduling.
Non-facility rate
$99
Office setting benchmark
Data sources
4
23 data points
Key insights for CPT 0655T
ASC vs hospital outpatient savings
$2,562Having this done at an ambulatory surgery center costs $2,522 vs $5,084 at a hospital outpatient
What this procedure costs across different settings
The same procedure can cost very different amounts depending on where it's performed. These are the Medicare-allowed amounts — what hospitals actually charge can be 3-10x higher.
| Setting | Medicare rate | vs lowest |
|---|---|---|
| Non-facility (office) | $99 | Lowest |
| Outpatient (APC) | $5,084 | +5035% |
| Ambulatory surgery (ASC) | $2,522 | +2447% |
Got a bill with CPT 0655T?
Upload your bill and our AI compares every line item against these exact benchmark rates. Free analysis in 60 seconds — you only pay if we find savings.
About this data
Rates shown are from the 2026 Medicare Physician Fee Schedule, Hospital Outpatient Prospective Payment System (OPPS), Ambulatory Surgery Center Payment System, Clinical Laboratory Fee Schedule, Durable Medical Equipment Fee Schedule, and CMS Inpatient Prospective Payment System (DRG weights). Regional adjustments use CMS Geographic Practice Cost Indices (GPCI). Hospital charges are from CMS Hospital Price Transparency machine-readable files. All data is publicly available under federal law (45 CFR Part 180).
This data is for informational purposes only and does not constitute medical or financial advice. Actual costs depend on insurance coverage, negotiated rates, and individual circumstances.
Data: Medicare Physician Fee Schedule, CMS Inpatient PPS (IPPS), Outpatient PPS (OPPS), ASC Payment System, Clinical Lab Fee Schedule (CLFS), National Average Drug Acquisition Cost (NADAC). FY 2024 data. All publicly available from CMS.
Methodology: Facility rate applies when the procedure is performed in a hospital or ASC. Non-facility rate applies in a physician office. GPCI adjustments reflect regional cost-of-living differences.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use