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Prostate laser surgery (PVP/HoLEP) in New York: what insurers pay

Posted commercial rates at 3 New York hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 52648

HospitalMedian across insurers× MedicareInsurersFile date
Stony Brook University Hospital Stony Brook$5,7830.9×52026-06-10
Montefiore Medical Center Bronx$10,6701.6×82026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$16,3832.5×72026-01-01

CPT 52649

HospitalMedian across insurers× MedicareInsurersFile date
Stony Brook University Hospital Stony Brook$5,7830.9×52026-06-10
Montefiore Medical Center Bronx$10,1651.5×82026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$15,8782.4×72026-01-01

MS-DRG 714

HospitalMedian across insurers× MedicareInsurersFile date
Montefiore Medical Center Bronx$9,2371.0×12026-04-01
Stony Brook University Hospital Stony Brook$33,0113.5×12026-06-10
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$33,9353.5×72026-01-01

MS-DRG 713

HospitalMedian across insurers× MedicareInsurersFile date
Montefiore Medical Center Bronx$14,2151.0×12026-04-01
Stony Brook University Hospital Stony Brook$33,0112.4×12026-06-10
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$48,2493.5×72026-01-01

Questions

How much do insurers pay for prostate laser surgery (pvp/holep) in New York?

3 New York hospitals post usable commercial rates for prostate laser surgery (pvp/holep) in their federal price-transparency files. For CPT 52648, hospital outpatient, the median across 3 hospitals is $10,670, 1.6× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.