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Drainage Of Leaked Urine From The Perineum

Pennsylvania rates for HCPCS 53080

Drains urine that has escaped from the urinary tract and collected in the tissues of the perineum, the area between the scrotum or vulva and the anus. The surgeon opens the area, lets the trapped fluid out, and places drains so it does not build back up. Prompt drainage matters because urine in the soft tissues quickly causes infection and tissue damage.

Rates data updated July 2026.

How much does Drainage Of Leaked Urine From The Perineum cost?

$562

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $562 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $4,266 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$447$389 to $537
FacilityA hospital or hospital-owned outpatient department$4,266$2,630 to $6,607

How much rates vary

Facilitymedian $4,266 · 10th to 90th $1,023 to $8,318Professionalmedian $447 · 10th to 90th $372 to $912
$500$1K$2K$5K$10Kfacility $4,266professional $447

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$4,786.30
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$446.68
Typical High
$1,096.48
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$6,165.95
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$537.03
Typical High
$812.83
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$660.69
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$549.54
Typical High
$831.76
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$3,890.45
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$457.09
Typical High
$3,630.78
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$630.96
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$3,548.13
Typical High
$6,309.57
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$407.38
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$2,344.23
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$512.86
Typical High
$831.76

Where Pennsylvania sits

The same service costs 7.6 times more in California than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 43rd of 51

$562

CA $3,467DE $457

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.