Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
TRANSURETHRAL WATERJET ABLATION PROSTATE COMPL
The hospitals that file a Wellmark rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.
Filter by billing methodology
Filter by billing class
46 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $8,696 | $8,696 – $8,696 |
| 2 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 1 | $822.25 | $822.25 – $822.25 |
| 3 | Central Iowa Hospital Corporation Des Moines, IA case rate · outpatient | 1 | $8,803 | $8,803 – $8,803 |
| 4 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 1 | $822.25 | $822.25 – $822.25 |
| 5 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 1 | $822.25 | $822.25 – $822.25 |
| 6 | Grinnell Regional Medical Center Grinnell, IA case rate · outpatient | 1 | $8,803 | $8,803 – $8,803 |
| 7 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 1 | $822.25 | $822.25 – $822.25 |
| 8 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · case rate · outpatient | 2 | $10,918 | $10,408 – $11,428 |
| 9 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · outpatient | 1 | $10,553 | $10,553 – $10,553 |
| 10 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · case rate · outpatient | 1 | $12,054 | $12,054 – $12,054 |
| 11 | MercyOne Genesis Davenport Medical Center IA 52803; 2140 53rd Avenue Bettendorf, IA facility · fee schedule · outpatient | 1 | $8,852 | $8,852 – $8,852 |
| 12 | MercyOne Genesis Davenport West Medical Center Davenport, IA facility · fee schedule · outpatient | 1 | $8,852 | $8,852 – $8,852 |
| 13 | MercyOne Genesis Silvis Medical Center Silvis, IL facility · case rate · outpatient | 1 | $4,451 | $4,451 – $4,451 |
| 14 | MercyOne Genesis Silvis Medical Center Silvis, IL facility · fee schedule · outpatient | 1 | $9,639 | $9,639 – $9,639 |
| 15 | Meriter Hospital, Inc Madison, WI per diem · outpatient | 1 | $14,203 | $14,203 – $14,203 |
| 16 | Mount Carmel St Ann's Lewis Center, OH facility · other · outpatient | 1 | $34,049 | $34,049 – $34,049 |
| 17 | Northwest Iowa Hospital Corporation Sioux City, IA case rate · outpatient | 1 | $9,192 | $9,192 – $9,192 |
| 18 | Northwest Iowa Hospital Corporation Sioux City, IA fee schedule · both | 1 | $822.25 | $822.25 – $822.25 |
| 19 | Saint Marys Hospital Waterbury, CT facility · other · outpatient | 1 | $33,660 | $33,660 – $33,660 |
| 20 | Saint Marys Hospital Waterbury, CT professional · fee schedule · inpatient | 1 | $1,491 | $1,491 – $1,491 |
| 21 | Saint Marys Hospital Waterbury, CT professional · fee schedule · outpatient | 1 | $1,491 | $1,491 – $1,491 |
| 22 | Saint Marys Hospital Waterbury, CT professional · percent of total billed charges · inpatientfrom % of charges | 1 | $2,530 | $2,530 – $2,530 |
| 23 | Saint Marys Hospital Waterbury, CT professional · percent of total billed charges · outpatientfrom % of charges | 1 | $2,530 | $2,530 – $2,530 |
| 24 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · fee schedule · outpatient | 1 | $9,944 | $9,944 – $9,944 |
| 25 | St Joseph Mercy Ann Arbor Ypsilanti, MI professional · fee schedule · inpatient | 1 | $9,247 | $9,247 – $9,247 |
← Payers reporting CPT 0421T · Snapshot 20261108T203506Z-bb90dbab