Urology
Diagnosis and treatment of urinary tract and male reproductive system conditions including kidney stones, prostate disease, and bladder disorders
Urology is the specialty focused on diagnosis and treatment of urinary tract and male reproductive system conditions including kidney stones, prostate disease, and bladder disorders. OpenDoc separates it into focused subspecialty paths so patients can start in the right care lane before they book. Transparent pricing on this page currently ranges from $75 to $10,000 across 29 common visit types. Urologists treat conditions affecting the urinary system in both men and women and the male reproductive system — from kidney stones to prostate cancer. OpenDoc urology providers offer evaluations starting at $200 with in-office procedures like cystoscopy for 40-60% less than hospital outpatient pricing. Kidney stones alone account for over 2 million emergency department visits per year, and many of these patients could save thousands with a direct urologist consultation.
Common services and transparent pricing
Pricing estimates are modeled from the current OpenDoc specialty taxonomy, visit archetypes, and transparent cash-pay assumptions. Posted provider pricing should be treated as the source of truth whenever it is available. Pricing last reviewed April 8, 2026.
- New Patient Urology Evaluation — $200–$400: New Patient Urology Evaluation is a common urology entry point on OpenDoc with transparent pricing before booking.
- Follow-Up Visit — $100–$200: Follow-Up Visit is a common urology entry point on OpenDoc with transparent pricing before booking.
- Cystoscopy (Diagnostic) — $400–$1000: Cystoscopy (Diagnostic) is a procedure-oriented urology service with transparent pricing shown before anything happens.
- PSA Screening (Lab + Consultation) — $75–$200: PSA Screening (Lab + Consultation) is a screening-focused urology service for earlier detection, monitoring, or preventive care planning.
- Vasectomy (In-Office) — $500–$1200: Vasectomy (In-Office) is a procedure-oriented urology service with transparent pricing shown before anything happens.
- Kidney Stone Evaluation — $200–$400: Kidney Stone Evaluation is a common urology entry point on OpenDoc with transparent pricing before booking.
- Urodynamic Testing — $500–$1500: Urodynamic Testing is a diagnostic urology service used to clarify the condition before treatment decisions are made.
- Prostate Biopsy (In-Office) — $1000–$3000: Prostate Biopsy (In-Office) is a procedure-oriented urology service with transparent pricing shown before anything happens.
- MRI-Fusion Prostate Biopsy — $2500–$5000: MRI-Fusion Prostate Biopsy is a procedure-oriented urology service with transparent pricing shown before anything happens.
- Extracorporeal Shock Wave Lithotripsy (ESWL) — $3000–$7000: Extracorporeal Shock Wave Lithotripsy (ESWL) is a procedure-oriented urology service with transparent pricing shown before anything happens.
- Ureteroscopy with Laser Lithotripsy — $4000–$10000: Ureteroscopy with Laser Lithotripsy is a procedure-oriented urology service with transparent pricing shown before anything happens.
- Bladder Botox Injection — $500–$1500: Bladder Botox Injection is a procedure-oriented urology service with transparent pricing shown before anything happens.
Frequently asked questions
How much does a urologist visit cost without insurance?
A new patient urology evaluation costs $200 to $400 cash pay, with follow-up visits at $100 to $200. In-office procedures like cystoscopy add $400 to $1,000. Office-based urology is significantly less expensive than hospital-based urology departments for the same services.
How much does a vasectomy cost out of pocket?
An in-office vasectomy costs $500 to $1,200 cash pay, which typically includes the consultation, procedure, local anesthesia, and one follow-up visit with semen analysis. Hospital-based vasectomies performed under general anesthesia can cost $3,000 to $5,000. Most vasectomies are safely performed in the office.
How much does a cystoscopy cost without insurance?
An in-office diagnostic cystoscopy costs $400 to $1,000 cash pay. The same procedure at a hospital outpatient surgery center can cost $2,000 to $5,000. In-office cystoscopy is performed with local anesthesia and takes about 15 minutes. Most diagnostic cystoscopies are appropriate for office-based settings.
Do I need a referral to see a urologist?
No referral is needed for cash-pay visits on OpenDoc. Common reasons to see a urologist directly include blood in the urine, kidney stone symptoms, prostate concerns, urinary incontinence, recurrent UTIs, or vasectomy consultation. Direct access eliminates referral delays.
How much does kidney stone treatment cost out of pocket?
Initial kidney stone evaluation costs $200 to $400. If treatment is needed, ESWL (shock wave lithotripsy) costs $3,000 to $7,000 and ureteroscopy with laser lithotripsy costs $4,000 to $10,000. Small stones may pass with medical management alone. Your urologist will recommend the most cost-effective approach based on stone size and location.
What is the difference between a urologist and a nephrologist?
Urologists are surgeons who treat structural and surgical conditions of the urinary tract — kidney stones, prostate disease, bladder tumors, and incontinence. Nephrologists are internal medicine specialists who manage medical kidney diseases — chronic kidney disease, dialysis, hypertension, and electrolyte disorders. For kidney stones, see a urologist; for kidney function problems, see a nephrologist.
How much does a prostate biopsy cost cash pay?
A standard in-office prostate biopsy costs $1,000 to $3,000, while an MRI-fusion guided biopsy costs $2,500 to $5,000. The MRI-fusion approach is more accurate and increasingly preferred for detecting clinically significant prostate cancer. Hospital-based biopsies can cost $5,000 to $10,000.
At what age should men start PSA screening?
Current guidelines recommend discussing PSA screening with your doctor starting at age 50 for average-risk men, age 45 for African American men and those with a family history, and age 40 for men with multiple first-degree relatives with prostate cancer. A PSA test with urologist consultation costs $75 to $200 cash pay.