CPT 53240 Surgery - Urinary
Surgery for urethra pouch Cost
Body System: Urinary
Medicare Facility Rate
$392
CMS PFS CY2026
Medicare Non-Facility Rate
$392
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
6.90
Work RVU
3.95
Facility PE RVU
0.89
Malpractice RVU
11.74
Total RVU
Frequently Asked Questions
How much does Surgery for urethra pouch cost?
The Medicare facility rate is $392. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Surgery for urethra pouch cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $392.