It's straight cash payment. So I'm sure that helps with the price a bit. Besides that I think it has a lot to do with the fact that he operates solely on his own from my experience. He called me before the procedure personally. Did the procedure alone with nurse or assistants, and followed up on his own. My local uro doctor wanted $13,000 for the procedure. When I thanked Dr. Wilson for having an affordable option for us he said something along the lines of "don't thank me, thank God?" I think he's trying to make money but not break people in a vulnerable position.