go back

Removing a Urethral Pouch in a Male

Massachusetts 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?

$1,000

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $1,000 for this service. The price depends on where it is billed: about $813 from a physician practice, and about $3,090 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$813$661 to $1,380
FacilityA hospital or hospital-owned outpatient department$3,090$1,905 to $4,365

How much rates vary

Facilitymedian $3,090 · 10th to 90th $646 to $6,761Professionalmedian $813 · 10th to 90th $589 to $1,905
$100.0$1.0K$10.0Kfacility $3,090professional $813

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
$1,778.28
Median
$3,311.31
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$676.08
Typical High
$1,995.26
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$5,370.32
Typical High
$45,708.82
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$891.25
Typical High
$5,623.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$954.99
Typical High
$1,737.80
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$741.31
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$630.96
Typical High
$954.99
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$4,265.80
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$1,071.52
Typical High
$1,819.70
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$5,370.32
Typical High
$45,708.82
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$891.25
Typical High
$5,623.41
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$4,265.80
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,096.48
Typical High
$2,570.40

Where Massachusetts 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.

Massachusetts $1,000 · 32nd 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.