Treatment FAQ

how much does hifu prostate treatment cost

by Mr. Ken Graham Published 3 years ago Updated 2 years ago

The treatment can range in cost from $15,000 to $25,000. HIFU is the latest treatment to prompt concerns over whether there should be limits — such as requiring tracking of results — placed on expensive new technology while additional data is gathered.Oct 5, 2016

Does HIFU really work for prostate cancer?

HIFU for face cost. According to ASAPS, the average cost for a nonsurgical skin tightening up procedure in 2017 was ₤ 1,707. This is a drastic distinction from a surgical facelift treatment, which carried a typical expense of ₤ 7,562.

Is HIFU covered by insurance?

How much does hifu for prostate cancer treatment cost? The average price of hifu for prostate cancer treatment is $14200, the minimum price is $8950, and the maximum price is $19600. Request the price

Is HIFU an option after prostatectomy?

Answer (1 of 9): Men hoping to avoid some side effects of prostate cancer treatment are shelling out tens of thousands of dollars for a procedure whose long-term effects are unknown and insurers, including Medicare, won’t pay for. Proponents say high-intensity focused ultrasound (HIFU) can have ...

Does HIFU treatment require a TURP procedure first?

At the present time, we offer HIFU as a cash-pay procedure at a non-Medicare facility. The overall cost ranges from $18,500 to $25,000. This amount will cover everything including all costs from the surgery center, anesthesiologist, and surgeon.

What is the cost of HIFU treatment for prostate cancer?

Additionally, the cost of the HIFU machine ranges from $450,000 to $700,000, adding to the overall costs of the technology relative to other treatment options.Aug 19, 2016

Is HIFU a good treatment for prostate cancer?

HIFU destroys prostate cancer through the delivery of precise and focused sound waves to a targeted spot of diseased prostate tissue. This technology uses ultrasound energy, not radiation, to destroy the targeted tissue.

How long does HIFU prostate treatment last?

The HIFU procedure typically lasts between 1-4 hours, depending on the size of the prostate, and is either done under general or epidural anesthesia. During the procedure a suprapubic or foley catheter will be put into place to help with urination, and will typically stay in place for 1-3 weeks.

How successful is HIFU?

Results: HIFU overall success rate was 84% (biochemical relapses in only 4 patients out of 25). Success rate was represented as follows: 94.2% in the low risk group, 83.4% in the intermediate risk group and 0% in the high risk group.

How long has HIFU been around for prostate cancer?

The first HIFU prostate cancer clinical trials, completed in the mid-1990s, showed that HIFU could ablate prostate tissue successfully. This finding led to additional studies, and HIFU ultimately entered clinical practice around the world during the following decade.Aug 21, 2021

Does prostate cancer return after HIFU?

Median time to post-HIFU recurrence was 16 months. The MRI-biopsy demonstrated that 56% had in-field recurrence, while 21% had an out-of-field recurrence, and 23% had both types of recurrences.

What are the disadvantages of HIFU?

The disadvantages of HIFU therapy include:No long-term (20 – 30 years) outcome data available.Quality of life issues include a potential risk of impotence and/or urinary incontinence.

What happens to prostate after HIFU?

HIFU usually causes the prostate to swell to begin with, which can make it difficult to urinate. You'll have a catheter to drain urine from your bladder until the swelling has gone, usually for up to a week after treatment. Before you go home your doctor or nurse will show you how to look after your catheter.

What should PSA be after HIFU?

The median PSA level after HIFU was 9.91 (range, 0–268.9) ng/mL, and the median PSA nadir was 0.03 (range, 0.03–3.31) ng/mL.Apr 19, 2011

How many treatments do you need for HIFU?

How Many HIFU Treatments Will I Need? Most clients only need one treatment. However this may be based on the degree of skin laxity, the biological response to ultrasound energy and the individual's collagen-building process, some clients may benefit from additional treatments.

What is HIFU focal therapy?

High-intensity focused ultrasound (HIFU) and focal therapy are two terms used for a few methods that kill small ranges of the prostate with varied types of heating, radiating or freezing tissue. These methods can kill small tumors inside the prostate.

Does Medicare cover HIFU?

For virtually all patients, there is typically no coverage by commercial health insurers, or Medicare for HIFU at this time. While Medicare did cover a substantial part of the HIFU cost from mid-2017 to the end of 2018, that is no longer the case. (Beware of medical practices that tell you Medicare will cover your procedure!)

Is HIFU covered by insurance?

We understand that HIFU is an expensive procedure. Unlike some other treatments for prostate cancer, it is not yet covered by insurance. That is because it typically takes about 5 years from FDA approval of a procedure to the time when insurers pay for it. For HIFU, that means insurance will likely begin very limited coverage in 2021.

How much does HIFU cost?

The treatment can range in cost from $15,000 to $25,000. HIFU is the latest treatment to prompt concerns over whether there should be limits — such as requiring tracking of results — placed on expensive new technology while additional data is gathered.

How hot does HIFU heat?

Using HIFU, devices direct ultrasound waves to heat prostate tissue to about 195 degrees, ablating all or just portions of the gland. Focusing on just a portion of the gland is a newer trend in prostate cancer treatment. Anesthesia is used.

What is active surveillance?

Some health care experts encourage these patients to opt instead for “ active surveillance ,” which means keeping an eye on the cancer through regular testing.

Is HIFU a long term treatment?

In the U.S., advisory committees to the Food and Drug Administration twice turned down applications from manufacturers to market HIFU devices as a treatment for prostate cancer, citing not enough long-term evidence. But in October 2015, the FDA approved Charlotte, N.C.-based SonaCare Medical’s device for the ablation of prostate tissue.

Is it too soon to say that partially treating the disease works as well as totally removing it?

Researchers say it’s too soon to state conclusively that partially treating the disease works as well as totally removing it. There is also debate over the type of patients best suited for the treatment: low risk, intermediate risk or those who have failed other types of prostate cancer treatment.

Can radiation cause impotence?

Surgery and radiation can pose problems such as in continence or impotence, while hormonal treatments also cause impotence and can also result in hot flashes, muscle weakness and other problems. When the cancer is aggressive, the benefit of these approaches outweigh such side effects.

Who is Julie Appleby?

Julie Appleby reports on the health care law's implementation, health care treatments and costs, trends in health insurance, and policy affecting hospitals and other medical providers for Kaiser Health News.

How does HIFU work?

When a man undergoes HIFU, much like other medical procedures, there are a variety of necessary services in order to carry out the treatment. When you choose HIFU with The Scionti Prostate Center and Vituro Health, this includes: 1 The facility (hospital, outpatient facility etc.) where the procedure takes place. This is Possibly reimbursed by Medicare 2 The physician who performs the HIFU procedure. 3 The anesthesiologist who administers anesthesia 4 Concierge Patient Support Services

Does Medicare cover HIFU?

There is still no coverage of HIFU professional fees by Medicare and this will not occur until CMS issues an official CPT code with reimbursement attached to it. This means that a significant portion of the costs of the HIFU procedure must be paid by the Medicare patient, even if the facility costs are covered.

How do healthcare providers get paid?

Healthcare providers are paid by insurance or government payers, such as Medicare through a system of reimbursement. They provide medical services to a patient and then file for reimbursement for those services with the insurance company or government agency.

What does reimbursement mean in healthcare?

Reimbursement usually means receiving money in repayment for money you have already spent, or an expense you have already incurred. It is a term used in a wide variety of ways in business and personal life, but it has a different meaning in healthcare.

Is HIFU covered by Medicare?

While there is an approved reimburse rate for HIFU for Medicare patients, as of January 1, 2019 The Centers for Medicare and Medicare Services (CMS) lowered that facility reimbursement rate so much that facilities can not actually afford to offer HIFU as a treatment options.

What is a CPT code?

CPT codes and HCPCS codes are related systems of medical coding required for providers and insurers to send information electronically.

What is private insurance?

A private insurance company negotiates their own reimbursement schedules with providers and hospitals. Even with health insurance, patients may have to pay a co-pay for a medical procedure, or may have to pay out of pocket for procedures not covered by insurance or Medicare.

Does insurance cover HIFU?

No commercial insurance plan has a policy that covers HIFU, in fact most plans have a policy that states it is not covered. HIFU Prostate Services is out-of-network for 100% of insurance carriers in the US and will not be able to assist you in filing for reimbursement.

Insurance Company Coverage and Reimbursement For Hifu

  • Medicare patients please click here to learn moreabout Medicare coverage of HIFU as of July 2017 For virtually all patients, there is typically no coverage by commercial health insurers, or Medicare for HIFU at this time. While Medicare did cover a substantial part of the HIFU cost from mid-2017 to the end of 2018, that is no longer the case. (Beware of medical practices that tell yo…
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Other Hifu-Related Expenses

  • Your initial consultation with Dr. Pugach may be covered by your insurance plan. We are happy to check your benefits without charge. Just call, 844.443.8362so we can verify your insurance. The cost of pre-HIFU medical clearance and any lab tests required by your anesthesiologist are not included in any HIFU fees. We will outline all of this for you in detail so there are no unforeseen fi…
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Please Call to Discuss Financial Arrangements and Further Financing Options.

  • Please call (844) 442-8362 to discuss the cost of HIFU, financial arrangements and financing options available with HIFU Prostate Services. (Attention: If you are Medicare patient, learn moreabout financial coverage available through Medicare for HIFU). At Western States HIFU, we work closely with HIFU Prostate Services, LLC (the country’s most experienced HIFU provider) t…
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