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Removing a Urethral Pouch in a Male

West Virginia 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?

$891

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $891 for this service. The price depends on where it is billed: about $851 from a physician practice, and about $1,479 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$851$603 to $1,660
FacilityA hospital or hospital-owned outpatient department$1,479$1,259 to $2,455

How much rates vary

Facilitymedian $1,479 · 10th to 90th $1,023 to $7,413Professionalmedian $851 · 10th to 90th $550 to $1,905
$500$1K$2K$5K$10Kfacility $1,479professional $851

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
$1,412.54
Median
$1,412.54
Typical High
$1,737.80
Aetna
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$602.56
Typical High
$630.96
CareSource
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$1,023.29
Typical High
$7,413.10
Cigna
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$977.24
Typical High
$3,890.45
United
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,479.11
Typical High
$15,135.61
United
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$741.31
Typical High
$1,659.59

Where West Virginia 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.

West Virginia· 31st of 51

$891

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.