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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 October 2026.

How much does Removing a Urethral Pouch in a Male cost?

$1,202

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $1,202 for this service. The price depends on where it is billed: about $1,202 from a physician practice, and about $1,514 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,202$1,023 to $1,380
FacilityA hospital or hospital-owned outpatient department$1,514$631 to $2,344

How much rates vary

Facilitymedian $1,514 · 10th to 90th $631 to $2,630Professionalmedian $1,202 · 10th to 90th $661 to $1,549
$1K$2K$5K$10K$20Kfacility $1,514professional $1,202

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$630.96
Median
$630.96
Typical High
$5,011.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$630.96
Median
$630.96
Typical High
$645.65
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,318.26
Typical High
$1,548.82
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$1,230.27
Median
$1,584.89
Typical High
$1,862.09
BCBS North Dakota
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$707.95
Median
$912.01
Typical High
$1,071.52
BCBS North Dakota
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$102.33
Median
$131.83
Typical High
$154.88
BCBS North Dakota
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$758.58
Median
$977.24
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$1,288.25
Typical High
$2,089.30
Medica
Setting
Facility
Modifier
None
Typical Low
$630.96
Median
$1,584.89
Typical High
$2,754.23
Medica
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$1,174.90
Typical High
$1,380.38
United
Setting
Facility
Modifier
None
Typical Low
$1,513.56
Median
$2,344.23
Typical High
$2,630.27
United
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$1,174.90
Typical High
$1,380.38

Where North Dakota sits

The same service costs 5.4 times more in Alaska than in Utah. 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.

North Dakota· 14th of 51

$1,202

AK $2,570UT $479

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.