go back

Removing a Urethral Pouch in a Male

Montana 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?

$1,096

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $1,096 for this service. The price depends on where it is billed: about $1,096 from a physician practice, and about $1,096 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$1,096$933 to $1,288
FacilityA hospital or hospital-owned outpatient department$1,096$1,072 to $1,230

How much rates vary

Facilitymedian $1,096 · 10th to 90th $1,072 to $14,454Professionalmedian $1,096 · 10th to 90th $794 to $3,388
$100.0$1.0K$10.0K$100.0Kfacility $1,096professional $1,096

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
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,202.26
Typical High
$3,388.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,000.00
Typical High
$1,047.13
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,096.48
Typical High
$1,318.26
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,096.48
Typical High
$1,318.26
Providence
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$912.01
Typical High
$1,258.93
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$724.44
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,071.52
Typical High
$1,584.89

Where Montana 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.

Montana $1,096 · 26th 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.