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Removing a Urethral Pouch in a Male

North Dakota 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?

$1,230

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $1,230 for this service. The price depends on where it is billed: about $1,230 from a physician practice, and about $631 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$1,230$708 to $1,445
FacilityA hospital or hospital-owned outpatient department$631$631 to $5,012

How much rates vary

Facilitymedian $631 · 10th to 90th $603 to $8,511Professionalmedian $1,230 · 10th to 90th $631 to $1,622
$500.0$1.0K$2.0K$5.0Kfacility $631professional $1,230

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
$602.56
Median
$630.96
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$630.96
Typical High
$630.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,380.38
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,202.26
Typical High
$1,949.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$891.25
Typical High
$1,905.46
Medica
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,148.15
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$5,128.61
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,096.48
Typical High
$1,584.89

Where North Dakota 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.

North Dakota $1,230 · 16th 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.