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Procedure price report · Transurethral resection of prostate (TURP)

Water vapor treatment of an enlarged prostate

CPT 53854the billing code this page is about

Prostate tissue is destroyed by injecting radiofrequency-generated steam into the gland through the urethra.

Hospitals typically charge $4,081 cash for this outpatient procedure — the median across 436 hospitals that filed a usable cash price; the average of the middle 60% is $4,017. Most fall between $1,950 and $7,160 (20th–80th percentile).

Hospitals
436
States
47
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 436 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$976$2,275$4,081$5,867$9,421

The most expensive tenth of hospitals charges at least 9.7× what the cheapest tenth charges ($976 vs $9,421).

How the prices are spread

$631 – $853: 19 hospitals$631$853 – $1,153: 14 hospitals$1,153 – $1,559: 13 hospitals$1,153$1,559 – $2,109: 29 hospitals$2,109 – $2,851: 55 hospitals$2,109$2,851 – $3,856: 40 hospitals$3,856 – $5,213: 121 hospitals$3,856$5,213 – $7,050: 33 hospitals$7,050 – $9,533: 48 hospitals$7,050$9,533 – $12,890: 23 hospitals$9,533median $4,081price bands are equal on a log scale
Hospitals per price band (395 of 436 — the bands cover the 5th to 95th percentile)
FromToHospitals
$631$85319
$853$1,15314
$1,153$1,55913
$1,559$2,10929
$2,109$2,85155
$2,851$3,85640
$3,856$5,213121
$5,213$7,05033
$7,050$9,53348
$9,533$12,89023

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,601
Median cash price$4,081
Cash as a multiple of Medicare1.13×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $4,081.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 9 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $3,967 across 25 hospitalsMN$3,967Illinois: median $3,274 across 23 hospitalsIL$3,274Wisconsin: median $8,478 across 30 hospitalsWI$8,478Michigan: median $4,001 across 19 hospitalsMI$4,001New York: median $4,081 across 26 hospitalsNY$4,081Massachusetts: 5 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 7 hospitals filed a usable price — fewer than 10, so no figureORNevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $4,386 across 15 hospitalsIA$4,386Indiana: median $2,275 across 11 hospitalsIN$2,275Ohio: median $10,312 across 24 hospitalsOH$10,312Pennsylvania: median $5,831 across 11 hospitalsPA$5,831New Jersey: median $4,561 across 30 hospitalsNJ$4,561Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $4,228 across 45 hospitalsCA$4,228Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 4 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 5 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 5 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 5 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 5 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $631 across 12 hospitalsOK$631Louisiana: 8 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 5 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $4,913 across 11 hospitalsGA$4,913Hawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,813 across 17 hospitalsTX$2,813Florida: 8 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $4,081. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Ohio OH24$10,312+153%$5,617 – $10,312
Wisconsin WI30$8,478+108%$1,950 – $18,839
Pennsylvania PA11$5,831+43%$2,429 – $7,427
Georgia GA11$4,913+20%$4,913 – $4,913
New Jersey NJ30$4,561+12%$3,818 – $5,741
Iowa IA15$4,386+7%$3,733 – $4,386
California CA45$4,228+4%$4,228 – $4,628
New York NY26$4,0810%$1,840 – $4,184
Michigan MI19$4,001−2%$726 – $5,453
Minnesota MN25$3,967−3%$2,401 – $8,352
Illinois IL23$3,274−20%$1,018 – $4,494
Texas TX17$2,813−31%$2,656 – $2,813
Indiana IN11$2,275−44%$1,558 – $4,678
Oklahoma OK12$631−85%$631 – $631
Washington WA9not enough hospitals filed a usable price
Florida FL8not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Louisiana LA8not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
Oregon OR7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
South Carolina SC6not enough hospitals filed a usable price
Alabama AL5not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
Massachusetts MA5not enough hospitals filed a usable price
Missouri MO5not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
Virginia VA5not enough hospitals filed a usable price
West Virginia WV5not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Colorado CO4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price
Wyoming WY1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $4,081.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care355$4,081$1,950 – $6,400
Children’s1fewer than 20 hospitals
Critical access79$4,001$1,950 – $8,478
Ownership
For-profit33$3,000$2,275 – $6,510
Government66$3,733$1,601 – $5,100
Non-profit336$4,228$1,950 – $7,693
System affiliation
Part of a system369$4,184$2,126 – $7,215
Independent67$3,000$815 – $5,937

Cash price vs list price

Median list price (chargemaster)$5,874
Median cash price$4,081
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

282 hospitals filed a usable inpatient cash price for this code. The median is $3,858 and the average of the middle 60% is $3,511; most fall between $1,353 and $5,886.

Cash price percentiles, inpatient, across 282 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$631$1,840$3,858$4,913$8,478

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($631 vs $8,478).

Of the 316 hospitals that filed this code inpatient, 282 gave a usable cash price; 19 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 15 a list price only.

How complete is this

436 of the 3,956 hospitals with a price file in our corpus (11%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 485 hospitals that filed this code at all gave us
Usable cash price — counted436
Cash price carrying a plausibility flag — shown on the compare tool, excluded here39
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded9
Hospitals that filed this code485

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Transurethral resection of prostate (TURP) family.

Hospitals file this code under descriptions such as Trurl Dstrj Prst8 Tiss Rf Wv Thermotherapy.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Water vapor treatment of an enlarged prostate (CPT 53854) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-53854-water-vapor-treatment-of-an-enlarged-prostate