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Basement toilets don’t always need a pump. However, it is the most common setup because plumbing systems use gravity to move waste away from the home. Basement toilets often sit below the home’s main sewage system, and installing a sewage ejector pump pushes the wastewater and sewage up to the main sewer line. Alternatively, you can use an upflush or macerator toilet that breaks down the waste and pushes it straight to the main sewer line rather than via a sewer line from the bathroom.

Completing a full standard bathroom remodel offers the best value, with an average return on investment (ROI) of 70%. However, you don't need a full remodel to make an impact. To maximize value, focus on key components like flooring, the tub and shower, vanity, and cabinets. High-value upgrades include installing a walk-in shower, resurfacing a tub, retiling, or expanding the shower. For more budget-friendly options that still increase value, consider repainting with a light, neutral color, or updating the mirror and light fixtures. It's also crucial to address any necessary repairs, such as leaks, mold, or cracked tiles, as buyers will notice these issues. Avoid flashy upgrades like bathtub jets or steam showers, which don't add as much value.

The cost of making a bathroom accessible can be $3,000 to $25,000, but you could spend as much as $50,000 building a brand-new ADA-compliant bathroom. Some bathroom accessibility upgrades to consider include:

• Installing grab bars: $100–$500 

• Lowering cabinets and vanities: $1,200–$2,500

• Installing modified doors: $700–$1,500

• Installing a modified toilet: $400–$1,000

• Installing an accessible sink and faucet: $100–$1,000

• Adding a walk-in tub: $1,100–$17,000

• Converting a bathtub into a walk-in tub: $350–$1,000

• Installing a wheelchair-accessible shower: $2,000–$7,500

• Installing a shower ramp: $16–$300

The most practical and common setup is a toilet that connects with the sewer line or a septic tank. However, it is possible to install a toilet without a sewer line, and this can be particularly helpful in basements with no or outdated plumbing. An increasingly popular option is an environmentally friendly composting toilet. Other waterless options include incinerating or dry flush toilets, which pull the waste into an airtight container.