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Removing a Urethral Pouch in a Male

Florida 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?

$832

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $832 for this service. The price depends on where it is billed: about $646 from a physician practice, and about $6,607 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$646$589 to $794
FacilityA hospital or hospital-owned outpatient department$6,607$2,455 to $10,965

How much rates vary

Facilitymedian $6,607 · 10th to 90th $1,000 to $14,125Professionalmedian $646 · 10th to 90th $537 to $1,230
$100.0$1.0K$10.0Kfacility $6,607professional $646

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
$851.14
Median
$4,897.79
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$645.65
Typical High
$1,230.27
AvMed
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$4,265.80
Typical High
$11,220.18
AvMed
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$660.69
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$2,511.89
Typical High
$3,019.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$812.83
Typical High
$1,288.25
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$12,302.69
Typical High
$23,442.29
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$446.68
Typical High
$676.08
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$5,754.40
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$794.33
Typical High
$1,318.26
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$645.65

Where Florida 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.

Florida $832 · 41st 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.