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Removing a Urethral Pouch in a Male

Louisiana 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?

$1,122

Typical negotiated rate. In Louisiana, July 2026.

Insurers have agreed to pay about $1,122 for this service. The price depends on where it is billed: about $955 from a physician practice, and about $2,692 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$955$724 to $1,072
FacilityA hospital or hospital-owned outpatient department$2,692$1,318 to $3,981

How much rates vary

Facilitymedian $2,692 · 10th to 90th $832 to $6,607Professionalmedian $955 · 10th to 90th $589 to $1,096
$500$1K$2K$5K$10Kfacility $2,692professional $955

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
$758.58
Median
$1,949.84
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$1,000.00
Typical High
$1,096.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$5,495.41
Typical High
$9,772.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$870.96
Typical High
$1,047.13
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$851.14
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$3,235.94
Typical High
$8,317.64
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$724.44
Typical High
$1,202.26

Where Louisiana 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.

Louisiana· 24th of 51

$1,122

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.