CPT 53431 Surgery - Urinary
Reconstruct urethra/bladder Cost
Body System: Urinary
Medicare Facility Rate
$1,030
CMS PFS CY2026
Medicare Non-Facility Rate
$1,030
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
20.65
Work RVU
7.55
Facility PE RVU
2.65
Malpractice RVU
30.85
Total RVU
Frequently Asked Questions
How much does Reconstruct urethra/bladder cost?
The Medicare facility rate is $1,030. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Reconstruct urethra/bladder 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 $1,030.