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Opening And Draining A Urethral Pouch

New Hampshire 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 July 2026.

How much does Opening And Draining A Urethral Pouch cost?

$759

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $724 from a physician practice, and about $1,738 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 5 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$724$479 to $933
FacilityA hospital or hospital-owned outpatient department$1,738$1,738 to $6,026

How much rates vary

Facilitymedian $1,738 · 10th to 90th $1,514 to $9,772Professionalmedian $724 · 10th to 90th $427 to $1,230
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $1,738professional $724

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
$100.00
Median
$2,398.83
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$616.60
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,737.80
Typical High
$3,019.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$831.76
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$707.95
Typical High
$1,258.93
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$724.44
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$741.31
Typical High
$1,584.89

Where New Hampshire sits

The same service costs 9.8 times more in California than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New Hampshire $759 · 25th of 51
CA $4,467DE $457

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.