What Rezūm costs,
answered straight
The short answer: with Original Medicare and a Medigap Plan G, Rezūm costs you at most $283, the 2026 Part B deductible, and nothing if you have already met it this year. Rezūm is typically covered by Medicare and most PPO and commercial plans when BPH symptoms are documented, and as a short office procedure it avoids the hospital charges that inflate surgical bills. Here is how the money works, confirmed against your plan before anything is scheduled.
Medically reviewed by Hari Sawkar, MD, board-certified urologist · Updated October 2026
How coverage works
Coverage follows the same documented-symptoms logic as every BPH treatment; the setting is what keeps the total light.
Medicare
Covers office-based Rezūm for documented BPH. After the Part B deductible, Medicare pays 80 percent, with a supplement typically absorbing the rest.
PPO and commercial plans
Most plans cover Rezūm with documented symptoms; prior authorization, when required, is handled by the office end to end.
One short visit
A single office treatment, no anesthesia team, no facility admission. The bill has fewer places to grow.
What patients actually pay
Rezūm is an office procedure, which is why the bill runs lighter than hospital surgery: there is no facility or anesthesia charge, only the procedure itself, billed under your medical benefit. 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 | Plans F and G pick up the 20 percent coinsurance; 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 procedure | Office procedures fall entirely under Part B; there is no hospital deductible because there is no hospital |
| Medicare Advantage | An office-procedure or outpatient-surgery copay set by your plan | Prior authorization is often required and the office handles it; the 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 | The office setting keeps the total well below hospital surgery even before insurance |
| Self-pay | A bundled quote on request | One number for the visit and the procedure, with the catheter check included |
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.
What changes your number
Four things decide most of the difference between one patient's bill and the next.
Whether your deductible is met
The $283 Part B deductible applies once a year. Once it has been met, Medicare patients with a Medigap Plan G typically owe nothing for Rezūm.
Office, not hospital
Rezūm is done in the office, so there is no facility fee and no anesthesia fee, which keeps the total well below hospital surgery on every kind of plan.
Your plan's design
Medicare Advantage plans set their own copays and usually require prior authorization; PPO plans apply your deductible and coinsurance up to the out-of-pocket maximum. The office checks both before scheduling.
Pre-tax dollars
Your share is a qualified medical expense, so it can be paid from a health savings account or flexible spending account.
Common questions about Rezum costs
Does Medicare cover Rezum
Yes, for documented BPH symptoms. After the Part B deductible, Medicare pays 80 percent, and a supplement typically picks up most or all of the remainder.
What will I actually pay out of pocket
Your deductible status, coinsurance, and supplement decide it, not a list price. The office verifies your benefits and gives you the real number before scheduling.
Is one payment the end of it
Rezūm is a single treatment for most men, with roughly one in twenty needing surgical retreatment by year five in trial data, so the cost conversation is usually a one-time conversation too.
How much does Rezūm cost
With Original Medicare, the $283 Part B deductible if it is not yet met, then 20 percent of the Medicare-allowed amount for the procedure, and nothing for a hospital because there is none. 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 Rezūm coverage before you commit to anything. Same-day and next-day appointments, telehealth available.
Chief of Urology, Providence St. Joseph Hospital · UroLift Center of Excellence · 250+ Aquablation procedures