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Removing a Urethral Pouch in a Male

South Carolina 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?

$776

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $776 for this service. The price depends on where it is billed: about $776 from a physician practice, and about $7,586 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 6 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$776$617 to $794
FacilityA hospital or hospital-owned outpatient department$7,586$1,862 to $12,023

How much rates vary

Facilitymedian $7,586 · 10th to 90th $776 to $21,878Professionalmedian $776 · 10th to 90th $617 to $1,202
$100.0$1.0K$10.0Kfacility $7,586professional $776

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
$776.25
Median
$11,748.98
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$776.25
Typical High
$851.14
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$5,370.32
Typical High
$8,709.64
BCBS
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$776.25
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$3,235.94
Typical High
$4,168.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$831.76
Typical High
$1,621.81
Medcost
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$891.25
Typical High
$1,479.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$10,964.78
Typical High
$20,892.96
United
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$776.25
Typical High
$1,288.25

Where South Carolina 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.

South Carolina $776 · 47th 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.