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Replacement Of Artificial Urinary Sphincter

Pennsylvania rates for HCPCS 53448

Surgery to remove a failed or infected artificial urinary sphincter and put a new one in during the same operation. The device has a cuff around the urine tube, a control pump and a fluid reservoir, and it keeps the urine tube closed until the patient presses the pump.

Rates data updated July 2026.

How much does Replacement Of Artificial Urinary Sphincter cost?

$6,135

Typical total for the visit. In Pennsylvania, July 2026.

Insurers have agreed to pay about $6,135 for this procedure. That total is two separate charges: $1,349 to the doctor who performs it, and $4,786 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,349$1,175 to $1,445
Facility feeThe hospital or surgery center$4,786$1,380 to $7,762

How much rates vary

Facilitymedian $4,786 · 10th to 90th $955 to $8,318Professionalmedian $1,349 · 10th to 90th $1,122 to $1,950
$500$1K$2K$5K$10K$20Kfacility $4,786professional $1,349

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
$1,348.96
Median
$5,370.32
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,288.25
Typical High
$1,621.81
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$21,379.62
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$1,513.56
Typical High
$2,398.83
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,905.46
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,548.82
Typical High
$2,454.71
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$4,786.30
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,348.96
Typical High
$3,388.44
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,513.56
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,288.25
Typical High
$2,344.23
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,230.27
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$870.96
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,513.56
Typical High
$2,570.40

Where Pennsylvania sits

The same service costs 12.0 times more in Maine than in Maryland. 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.

Physician feeFacility fee

Pennsylvania· 20th of 50

$6,135

$1,349 physician + $4,786 facility

ME $21,236MD $1,776

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.