go back

Opening And Draining A Urethral Pouch

Hawaii rates for HCPCS 53240

A diverticulum, a pouch that has formed off the side of the urethra, is opened and its edges are stitched to the surrounding lining so it stays open. Instead of being removed, the pouch is laid open so urine no longer collects and stagnates in it.

Rates data updated October 2026.

How much does Opening And Draining A Urethral Pouch cost?

$537

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $537 for this service. The price depends on where it is billed: about $537 from a physician practice, and about $1,259 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$537$437 to $661
FacilityA hospital or hospital-owned outpatient department$1,259$1,096 to $3,020

How much rates vary

Facilitymedian $1,259 · 10th to 90th $977 to $3,890Professionalmedian $537 · 10th to 90th $30 to $794
$50$100$200$500$1K$2K$5Kfacility $1,259professional $537

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
$933.25
Median
$2,818.38
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$457.09
Typical High
$512.86
Cigna
Setting
Facility
Modifier
None
Typical Low
$977.24
Median
$1,096.48
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
HMSA
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$691.83
Typical High
$794.33
HMSA
Setting
Professional
Modifier
51 · Multiple procedures
Typical Low
$302.00
Median
$346.74
Typical High
$363.08
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$478.63
Typical High
$602.56
United
Setting
Facility
Modifier
None
Typical Low
$2,238.72
Median
$3,019.95
Typical High
$3,890.45
United
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$537.03
Typical High
$630.96
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$512.86
Typical High
$5,128.61

Where Hawaii sits

The same service costs 8.9 times more in Oklahoma 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.

Hawaii· 39th of 51

$537

OK $2,951UT $331

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.