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Removing a Urethral Pouch in a Male

Oregon 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 Oregon, July 2026.

Insurers have agreed to pay about $1,230 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $1,230 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 8 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$1,175$977 to $1,585
FacilityA hospital or hospital-owned outpatient department$1,230$1,047 to $1,585

How much rates vary

Facilitymedian $1,230 · 10th to 90th $813 to $13,183Professionalmedian $1,175 · 10th to 90th $692 to $1,995
$100.0$1.0K$10.0K$100.0K$1.0Mfacility $1,230professional $1,175

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
$1,584.89
Median
$7,943.28
Typical High
$17,378.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,412.54
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,318.26
Typical High
$1,778.28
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,230.27
Typical High
$1,659.59
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$954.99
Typical High
$1,513.56
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,122.02
Typical High
$1,659.59
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,230.27
Typical High
$1,258.93
Providence
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$977.24
Typical High
$1,621.81
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,202.26
Typical High
$1,737.80
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$16,982.44
Typical High
$20,417.38
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,513.56
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$10,232.93
Typical High
$16,218.10
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,230.27
Typical High
$1,778.28

Where Oregon 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.

Oregon $1,230 · 18th 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.