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Removing a Urethral Pouch in a Male

Colorado rates for HCPCS 53235

Removes an abnormal pouch that has formed off the urethra, the tube that carries urine out of the body, in a male patient. The pouch traps urine and causes infection, dribbling, or pain; it is cut away and the urethra is repaired around the opening.

Rates data updated July 2026.

How much does Removing a Urethral Pouch in a Male cost?

$3,236

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $3,236 for this service. The price depends on where it is billed: about $776 from a physician practice, and about $7,244 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 7 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$776$646 to $955
FacilityA hospital or hospital-owned outpatient department$7,244$5,248 to $12,023

How much rates vary

Facilitymedian $7,244 · 10th to 90th $1,862 to $18,197Professionalmedian $776 · 10th to 90th $646 to $1,905
$100.0$500.0$2.0K$10.0Kfacility $7,244professional $776

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
$1,862.09
Median
$5,495.41
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$724.44
Typical High
$2,089.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$11,481.54
Typical High
$19,498.45
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$870.96
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$954.99
Typical High
$1,288.25
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$870.96
Typical High
$1,258.93
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$831.76
Typical High
$2,454.71
Select Health
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,071.52
Typical High
$1,230.27
Select Health
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$645.65
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$5,011.87
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$977.24
Typical High
$1,584.89

Where Colorado sits

The same service costs 8.3 times more in California than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Colorado $3,236 · 2nd of 51
CA $5,623DE $676

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.