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Removing a Urethral Pouch in a Male

Indiana 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 Indiana, July 2026.

Insurers have agreed to pay about $1,148 for this service. The price depends on where it is billed: about $724 from a physician practice, and about $12,882 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$724$631 to $832
FacilityA hospital or hospital-owned outpatient department$12,882$5,012 to $21,878

How much rates vary

Facilitymedian $12,882 · 10th to 90th $1,380 to $25,704Professionalmedian $724 · 10th to 90th $589 to $1,148
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $12,882professional $724

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
$4,897.79
Typical High
$11,220.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$691.83
Typical High
$831.76
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$15,488.17
Typical High
$25,703.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$776.25
Typical High
$1,202.26
CareSource
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$645.65
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,023.29
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$776.25
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$5,623.41
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$741.31
Typical High
$1,202.26

Where Indiana 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.

Indiana $1,148 · 22nd 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.