Stat Bull Metrop Insur Co. 1993 Apr-Jun;74(2):18-27.
During 1991, average total charges for a radical prostatectomy among MetLife group health policy holders and dependents averaged $18,140; comparable charges for a transurethral resection of the prostate (TURP) were $7,970. The Pacific area reported the highest average total charges for both procedures--charges 25 percent above the U.S. average for both surgeries. Among the 14 states with 10 or more radical prostatectomies reported to MetLife, California led with total charges of $24,850 (37 percent above the U.S. average) and Minnesota reported the lowest average total charges ($12,480, 31 percent lower than the norm). In the 32 states with 10 or more TURPs during 1991, the charges ranged from the highest in Massachusetts ($11,250, 41 percent above average) to the lowest in Washington ($5,170,35 percent below the United States). Just over two-thirds of the total charges for each surgical procedure was due to the hospital portion of the bill. Physician charges were more than twice as high for a radical prostatectomy than for a TURP, e.g., $5,730 versus $2,630. Hospital stays averaged 7.5 days for a radical prostatectomy and 4.3 days for a TURP. The stays were longest in New Jersey for both procedures.
1991年期间，大都会人寿团体健康保险的投保人及其家属接受根治性前列腺切除术的平均总费用为18,140美元；经尿道前列腺切除术（TURP）的可比费用为7,970美元。太平洋地区报告这两种手术的平均总费用最高——两种手术的费用均比美国平均水平高出25%。在向大都会人寿报告进行了10例或更多例根治性前列腺切除术的14个州中，加利福尼亚州以24,850美元的总费用位居榜首（比美国平均水平高出37%），而明尼苏达州报告的平均总费用最低（12,480美元，比正常水平低31%）。在1991年有10例或更多例TURP手术的32个州中，费用从马萨诸塞州最高的11,250美元（比平均水平高出41%）到华盛顿州最低的5,170美元（比美国平均水平低35%）不等。每种手术总费用中略超过三分之二是医院账单部分。根治性前列腺切除术的医生费用比TURP手术高出两倍多，例如，分别为5,730美元和2,630美元。根治性前列腺切除术的平均住院时间为7.5天，TURP手术为4.3天。这两种手术在新泽西州的住院时间最长。
