With Health Insurance: Copay + 10%-50% of Procedure Cost
Without Health Insurance: $350-$3,000+
A cystoscopy involves the use of a thin scope to examine the inside of the bladder and the urethra. It typically is used to investigate urinary tract problems such as urgency, painful urination, recurring urinary tract infections, kidney stones or a growth in the bladder. Risks include infection, bleeding or injury to the bladder.
Typical costs:
For patients covered by health insurance, out-of-pocket costs typically would include a doctor visit copay and coinsurance of 10% to 50% for the procedure. A cystoscopy typically would be covered by health insurance.
For patients not covered by health insurance, the cost of a cystoscopy can range from a about $350-$3,000 or more, depending on whether the procedure is done in a doctor's office -- or at an ambulatory surgery center or hospital, where a facility fee, anesthesia and possibly a biopsy would be included in the cost. For example, Kansas City Urology Care[1] in Missouri charges about $366 for an in-office cystoscopy. According to the Healthcare Blue Book[2] , a doctor fee for a cytoscopy should cost about $395, a facility fee about $470 and anesthesia about $775, for a total of about $395 if done in a doctor's office or $1,640 in a surgery center or hospital. However, according to Healthcare Blue Book[3] , if a biopsy or minor treatment is done at the same time, that can increase the doctor fee to about $925 and the total, if done in an ambulatory surgery center or hospital, to about $3,200.
The patient will be given local anesthesia or a sedative or placed under general anesthesia. The doctor then will slide a scope into the urethra and the bladder to view the inside of the urinary tract. The doctor will pump a sterile liquid into the bladder to inflate it to allow for better visualization through a magnifying lens on the end of the scope. If necessary, the doctor will take a tissue sample for a biopsy.
The procedure can be outpatient or inpatient and can take anywhere from five to 30 minutes to an hour or more, depending on the reason for the procedure. Afterward, the patient might experience discomfort, burning while urinating and blood in the urine for 24 hours.
Over-the-counter pain medication, usually less than $5, is sometimes recommended after the procedure.
Oral antibiotics might be prescribed to prevent infection. Many generic antibiotics are available for less than $10.
Discounts:
Some free or low-cost clinics, such as the NYC Free Clinic[5] and the Clinic at Brackenridge[6] in Austin, TX, offer access to specialist care. The U.S. Department of Health & Human Services has a tool[7] to find a federally funded health clinic. If a nearby clinic does not offer urology care, they can provide a referral.
Shopping for a cystoscopy:
A urologist should perform a cystoscopy. The American Urological Association has a urologist locator[8] by zip code. It is important to make sure the doctor is certified by the American Board of Urology[9] .
Material on this page is for informational purposes only and should not be construed as medical advice. Always consult your physician or pharmacist regarding medications or medical procedures.
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These amounts are after insurance discounts but no insurance payments. The larger charge was from “Summit Ambulatory Services”, although the procedure took place in an exam room across the hall from the urologist’s office, so what’s up with that?
We got our pre-op call today and were told our hospital fees would be $19,200 for my daughter's cystoscopy. That is only the hospital portion and doesn't include the doctor's fee or the anesthesiologist. Even after insurance we are still looking at about $6k+ out of pocket. That's insane.
Gross bill of $15,118, with insurance company contractual discounts of $11,005.93. The balance billed to me, as we have a $7,800 deductible plus $300 copay. Medical service pricing is nuts!
Can't believe what you are paying for this procedure in the US. You must be bonkers to put up with it! Total cost, here in Cyprus, euros6 plus euro1 for antibiotics. Non pensioners pay euro 150 pa for healthcare; pensioners are not charged.
Posted by: Medical Care Expenses-OUT OF CONTROL in Seymour, IN.
Posted: October 12th, 2018 03:10PM
It is the most absurd price I've ever seen. Not to mention in addition to this there's other test totalling $43,859.00. Along with Copays & the 20% not covered which are out of pocket cost. RIDICULOUS
I had a pain on my left side....I had an endoscopy,a colonoscopy,and a cystoscopy,and a cat scan.BCBS was billed for 17,400 for the cystoscopy..INS paid 16,209.08..I just recieved a letter saying I owe 1,092 for a compression sleeve,whatever that is because it was out of network...I don't get if they knew my INS didn't cover it,WHY.something wrong....
Never mentioned: the Cystoscopy can help with diagnosis but in most (all?) cases nothing can be done to solve the problem--so the patient is placed at risk (infection, etc.) for no good medical reason.
I am being overcharged on a simple Cystoscopy procedure by 10,000 dollars! I am paying 280 dollars on health insurance a month for what? They do not have the right to charge ten thousand dollars for a 2.5 hour procedure.
The total cost was $1,100. The insurance company paid a little over half and I paid the remainder. I was charged twice for the same procedure. Once by the doctor's office and again by the Urosurgical Center.
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