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Removing a Urethral Pouch in a Male

Missouri 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?

$2,089

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $2,089 for this service. The price depends on where it is billed: about $741 from a physician practice, and about $3,981 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$741$661 to $1,023
FacilityA hospital or hospital-owned outpatient department$3,981$2,512 to $5,370

How much rates vary

Facilitymedian $3,981 · 10th to 90th $1,479 to $7,943Professionalmedian $741 · 10th to 90th $603 to $2,512
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $3,981professional $741

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
$1,258.93
Median
$3,388.44
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$724.44
Typical High
$3,548.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,570.88
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$758.58
Typical High
$1,230.27
BCBS
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$645.65
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$831.76
Typical High
$1,380.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,862.09
Typical High
$26,302.68
Medica
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,000.00
Typical High
$5,370.32
United
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$3,235.94
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$891.25
Typical High
$1,513.56

Where Missouri 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.

Missouri $2,089 · 6th 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.