What Aquablation costs,
answered straight
The short answer: with Original Medicare and a Medigap Plan G, Aquablation costs you at most $283, the 2026 Part B deductible, and nothing if you have already met it this year. 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 October 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.
What patients actually pay
Aquablation is billed like any hospital prostate surgery: a surgeon fee, an anesthesia fee, and a hospital charge that covers the robotic suite and the overnight stay. Your share depends on the plan, not the procedure. These are the 2026 structures; the office confirms your exact numbers before scheduling.
| Coverage situation | What you typically owe | Worth knowing |
|---|---|---|
| Medicare plus a Medigap supplement | Usually $0 beyond the $283 Part B deductible, and often $0 total | Plans F and G pick up the 20 percent coinsurance and the hospital deductible; Plan G leaves the Part B deductible to you |
| Original Medicare only | The $283 Part B deductible if not yet met, then 20 percent of the Medicare-allowed amount for the surgeon and anesthesia | The hospital share is the $1,736 Part A deductible if you are admitted as an inpatient, or 20 percent coinsurance under Part B for an observation stay |
| Medicare Advantage | A fixed copay for outpatient or inpatient surgery set by your plan, commonly a few hundred dollars per day or per procedure | Prior authorization is required and the office handles it; the surgery copay is listed in your Evidence of Coverage |
| PPO or commercial plan | Your remaining deductible, then coinsurance, commonly 10 to 30 percent, up to your out-of-pocket maximum | Late in the year, once the deductible is met, the bill is often far smaller; prior authorization is standard |
| Self-pay | A bundled quote on request | Surgeon, anesthesia, and hospital are quoted together, so there is one number rather than three surprises |
2026 Medicare deductibles from CMS. Coinsurance percentages describe typical plan designs, not quotes; the office verifies your plan and gives you a written estimate before anything is scheduled.
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.
How much does Aquablation cost
With Original Medicare, expect the $283 Part B deductible if it is not yet met, then 20 percent of the Medicare-allowed amount for the surgeon and anesthesia, with the hospital share under Part A or Part B depending on how the stay is classified. A Medigap supplement usually absorbs the coinsurance. PPO plans apply their deductible and coinsurance, and self-pay patients get one bundled quote.
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