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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 July 2026.

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

$1,122

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $1,122 for this service. The price depends on where it is billed: about $1,072 from a physician practice, and about $5,623 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$1,072$708 to $1,380
FacilityA hospital or hospital-owned outpatient department$5,623$2,570 to $9,550

How much rates vary

Facilitymedian $5,623 · 10th to 90th $2,399 to $11,482Professionalmedian $1,072 · 10th to 90th $631 to $1,820
$100.0$500.0$2.0K$10.0Kfacility $5,623professional $1,072

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
$100.00
Median
$2,570.40
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$912.01
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,623.41
Typical High
$8,912.51
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,258.93
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$1,047.13
Typical High
$1,905.46
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$9,549.93
Typical High
$9,549.93
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,071.52
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$9,549.93
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,122.02
Typical High
$2,344.23

Where New Hampshire 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.

New Hampshire $1,122 · 25th 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.