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Removing a Urethral Pouch in a Male

Pennsylvania 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?

$813

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $813 for this service. The price depends on where it is billed: about $676 from a physician practice, and about $4,074 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 9 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$676$589 to $776
FacilityA hospital or hospital-owned outpatient department$4,074$2,239 to $6,607

How much rates vary

Facilitymedian $4,074 · 10th to 90th $1,023 to $8,318Professionalmedian $676 · 10th to 90th $562 to $1,230
$200.0$1.0K$5.0K$20.0Kfacility $4,074professional $676

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
$1,023.29
Median
$4,786.30
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$676.08
Typical High
$1,122.02
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$6,165.95
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$954.99
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$758.58
Typical High
$1,174.90
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$977.24
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,754.23
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$776.25
Typical High
$1,230.27
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$3,890.45
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$676.08
Typical High
$3,630.78
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$776.25
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,949.84
Typical High
$3,388.44
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$616.60
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$3,890.45
Typical High
$15,848.93
United
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$741.31
Typical High
$1,258.93

Where Pennsylvania 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.

Pennsylvania $813 · 44th 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.