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Removing a Urethral Pouch in a Male

Iowa 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?

$1,585

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $1,585 for this service. The price depends on where it is billed: about $1,072 from a physician practice, and about $4,898 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$1,072$813 to $1,820
FacilityA hospital or hospital-owned outpatient department$4,898$3,467 to $7,079

How much rates vary

Facilitymedian $4,898 · 10th to 90th $1,096 to $12,303Professionalmedian $1,072 · 10th to 90th $603 to $3,802
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $4,898professional $1,072

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
$933.25
Median
$4,897.79
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$933.25
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,479.11
Typical High
$1,819.70
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,096.48
Typical High
$2,344.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$4,265.80
Typical High
$13,803.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,288.25
Typical High
$5,370.32
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,548.82
Typical High
$2,089.30
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,698.24
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$7,413.10
Typical High
$14,125.38
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,023.29
Typical High
$1,995.26
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,148.15
Typical High
$1,348.96

Where Iowa 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.

Iowa $1,585 · 7th 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.