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Removing a Urethral Pouch in a Male

Georgia 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?

$1,175

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $1,175 for this service. The price depends on where it is billed: about $851 from a physician practice, and about $4,571 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 5 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$851$661 to $1,148
FacilityA hospital or hospital-owned outpatient department$4,571$2,089 to $6,457

How much rates vary

Facilitymedian $4,571 · 10th to 90th $1,175 to $9,550Professionalmedian $851 · 10th to 90th $617 to $1,413
$500$1K$2K$5K$10K$20Kfacility $4,571professional $851

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
$1,122.02
Median
$5,370.32
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$741.31
Typical High
$1,318.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$3,801.89
Typical High
$9,549.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$954.99
Typical High
$1,445.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$954.99
Typical High
$1,513.56
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$776.25
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$3,981.07
Typical High
$6,918.31
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$851.14
Typical High
$1,479.11

Where Georgia sits

The same service costs 8.3 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.

Georgia· 19th of 51

$1,175

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.