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Removing a Urethral Pouch in a Male

New Hampshire 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?

$1,259

Typical negotiated rate. In New Hampshire, October 2026.

Insurers have agreed to pay about $1,259 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $2,570 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,175$912 to $1,479
FacilityA hospital or hospital-owned outpatient department$2,570$1,778 to $5,623

How much rates vary

Facilitymedian $2,570 · 10th to 90th $1,698 to $8,710Professionalmedian $1,175 · 10th to 90th $676 to $2,138
$1K$2K$5K$10Kfacility $2,570professional $1,175

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
$2,398.83
Median
$2,754.23
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$5,623.41
Typical High
$9,332.54
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$1,258.93
Typical High
$2,290.87
Anthem BCBS
Setting
Professional
Modifier
62 · Two surgeons
Typical Low
$457.09
Median
$794.33
Typical High
$1,445.44
Anthem BCBS
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$117.49
Median
$199.53
Typical High
$371.54
Anthem BCBS
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$102.33
Median
$173.78
Typical High
$323.59
Cigna
Setting
Facility
Modifier
None
Typical Low
$660.69
Median
$4,786.30
Typical High
$6,606.93
Cigna
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$1,071.52
Typical High
$1,905.46
Harvard Pilgrim
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$1,949.84
Typical High
$4,265.80
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$1,096.48
Typical High
$2,187.76
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$2,089.30
Typical High
$4,265.80
United
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$977.24
Typical High
$2,089.30
Well Sense
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24

Where New Hampshire 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.

New Hampshire· 10th of 51

$1,259

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.