go back

Removing a Urethral Pouch in a Male

Illinois 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?

$1,148

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $1,148 for this service. The price depends on where it is billed: about $794 from a physician practice, and about $2,138 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 6 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$794$646 to $1,202
FacilityA hospital or hospital-owned outpatient department$2,138$1,230 to $5,370

How much rates vary

Facilitymedian $2,138 · 10th to 90th $832 to $9,333Professionalmedian $794 · 10th to 90th $589 to $1,778
$200$500$1K$2K$5K$10K$20Kfacility $2,138professional $794

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
$707.95
Median
$1,862.09
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$676.08
Typical High
$1,659.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$7,762.47
Typical High
$15,135.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,148.15
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$870.96
Typical High
$1,288.25
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,047.13
Typical High
$2,818.38
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$794.33
Typical High
$870.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$4,570.88
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$870.96
Typical High
$1,380.38

Where Illinois 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.

Illinois· 21st of 51

$1,148

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.