CPT 53445 Surgery - Urinary
Insert uro/ves nck sphincter Cost
Body System: Urinary
Medicare Facility Rate
$689
CMS PFS CY2026
Medicare Non-Facility Rate
$689
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
12.68
Work RVU
6.33
Facility PE RVU
1.63
Malpractice RVU
20.64
Total RVU
Frequently Asked Questions
How much does Insert uro/ves nck sphincter cost?
The Medicare facility rate is $689. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Insert uro/ves nck sphincter 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 $689.