What Aquablation costs,
answered straight
Aquablation is hospital-based surgery, and it is covered by Medicare and most PPO and commercial plans on the same basis as TURP: documented BPH that merits surgical treatment. Here is what actually shows up on the bill and what decides your share, verified against your plan before anything is scheduled.
Medically reviewed by Hari Sawkar, MD, board-certified urologist · Updated August 2026
How coverage works
Surgical billing has more moving parts than office procedures; coverage handles most of them the same way it always has for prostate surgery.
Medicare
Covers Aquablation like other medically necessary prostate surgery. Hospital charges fall under your Part A and B structure, and supplements do their usual work on the remainder.
PPO and commercial plans
Most plans cover Aquablation as they do TURP, typically with prior authorization, which the office manages with the hospital.
What the bill contains
Surgeon, anesthesia, one hospital night, and the robotic suite. It is a real surgical bill, and insurance treats it as one, which is why verification up front matters.
Common questions about Aquablation costs
Does Medicare cover Aquablation
Yes, on the same medical-necessity basis as TURP. Your hospital and physician shares follow your normal Medicare structure, and a supplement typically absorbs most of the coinsurance.
Is Aquablation more expensive than TURP for me
Usually comparable from the patient side, since both are covered hospital surgeries under the same benefit design. The difference you feel is clinical, not financial: better odds of preserving ejaculation.
Is there a cheaper path than surgery
Often, yes. PAE happens in the practice's own outpatient lab with no hospital admission, which structurally shrinks the bill. Whether it fits your anatomy is what the consultation determines.
Get your real number
Send the office your insurance details and the team verifies your Aquablation coverage, hospital and all, before you commit. Same-day and next-day appointments, telehealth available.
Chief of Urology, Providence St. Joseph Hospital · UroLift Center of Excellence · 250+ Aquablation procedures