CPT 53425 Surgery - Urinary
Reconstruct urethra stage 2 Cost
Body System: Urinary
Medicare Facility Rate
$840
CMS PFS CY2026
Medicare Non-Facility Rate
$840
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
16.64
Work RVU
6.36
Facility PE RVU
2.14
Malpractice RVU
25.14
Total RVU
Frequently Asked Questions
How much does Reconstruct urethra stage 2 cost?
The Medicare facility rate is $840. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Reconstruct urethra stage 2 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 $840.