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Procedure price report · Genitourinary incontinence procedures

Implant of artificial urinary sphincter

CPT 53445the billing code this page is about

Surgical placement of an inflatable cuff around the urethra or bladder neck along with its pump and fluid reservoir to control urine leakage.

Hospitals typically charge $4,881 cash for this outpatient procedure — the median across 419 hospitals that filed a usable cash price; the average of the middle 60% is $9,178. Most fall between $1,652 and $27,316 (20th–80th percentile).

Hospitals
419
States
45
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 419 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$1,252$1,902$4,881$23,819$37,929

The most expensive tenth of hospitals charges at least 30× what the cheapest tenth charges ($1,252 vs $37,929).

How the prices are spread

$820 – $1,244: 22 hospitals$820$1,244 – $1,887: 52 hospitals$1,887 – $2,862: 60 hospitals$1,887$2,862 – $4,341: 41 hospitals$4,341 – $6,584: 35 hospitals$4,341$6,584 – $9,988: 25 hospitals$9,988 – $15,150: 21 hospitals$9,988$15,150 – $22,980: 32 hospitals$22,980 – $34,858: 65 hospitals$22,980$34,858 – $52,876: 27 hospitals$34,858median $4,881price bands are equal on a log scale
Hospitals per price band (380 of 419 — the bands cover the 5th to 95th percentile)
FromToHospitals
$820$1,24422
$1,244$1,88752
$1,887$2,86260
$2,862$4,34141
$4,341$6,58435
$6,584$9,98825
$9,988$15,15021
$15,150$22,98032
$22,980$34,85865
$34,858$52,87627

Against Medicare

Medicare pays (OPPS 2026, national rate)$21,175
Median cash price$4,881
Cash as a multiple of Medicare0.23×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $4,881.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 8 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 9 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $6,738 across 13 hospitalsMN$6,738Illinois: median $2,101 across 15 hospitalsIL$2,101Wisconsin: median $3,739 across 23 hospitalsWI$3,739Michigan: median $4,397 across 31 hospitalsMI$4,397New York: median $21,175 across 32 hospitalsNY$21,175Massachusetts: 3 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $2,369 across 13 hospitalsOR$2,369Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $1,902 across 18 hospitalsIA$1,902Indiana: 5 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $3,415 across 14 hospitalsOH$3,415Pennsylvania: median $10,842 across 18 hospitalsPA$10,842New Jersey: median $21,998 across 30 hospitalsNJ$21,998Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $32,301 across 30 hospitalsCA$32,301Utah: no hospital in the corpus filed a usable priceUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 6 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 7 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 5 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 4 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 9 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,252 across 13 hospitalsOK$1,252Louisiana: 7 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 7 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $14,293 across 10 hospitalsAL$14,293Georgia: no hospital in the corpus filed a usable priceGAHawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $12,558 across 22 hospitalsTX$12,558Florida: median $41,878 across 11 hospitalsFL$41,878
Cash price by state, most expensive first. National median $4,881. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL11$41,878+758%$3,380 – $44,605
California CA30$32,301+562%$2,141 – $32,301
New Jersey NJ30$21,998+351%$5,110 – $24,036
New York NY32$21,175+334%$1,533 – $23,819
Alabama AL10$14,293+193%$2,402 – $35,909
Texas TX22$12,558+157%$9,417 – $12,599
Pennsylvania PA18$10,842+122%$239 – $37,929
Minnesota MN13$6,738+38%$5,743 – $6,738
Michigan MI31$4,397−10%$2,569 – $28,499
Wisconsin WI23$3,739−23%$3,739 – $3,859
Ohio OH14$3,415−30%$3,380 – $74,106
Oregon OR13$2,369−51%$1,386 – $2,554
Illinois IL15$2,101−57%$1,531 – $108,628
Iowa IA18$1,902−61%$1,902 – $2,088
Oklahoma OK13$1,252−74%$1,252 – $37,098
Arkansas AR9not enough hospitals filed a usable price
Idaho ID9not enough hospitals filed a usable price
Washington WA8not enough hospitals filed a usable price
Louisiana LA7not enough hospitals filed a usable price
Missouri MO7not enough hospitals filed a usable price
Mississippi MS7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Nebraska NE6not enough hospitals filed a usable price
South Carolina SC6not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Indiana IN5not enough hospitals filed a usable price
West Virginia WV5not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Massachusetts MA3not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $4,881.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care355$6,567$1,579 – $32,301
Children’s3fewer than 20 hospitals
Critical access59$3,739$2,066 – $6,738
Ownership
For-profit39$16,964$2,101 – $35,027
Government57$2,701$1,424 – $23,819
Non-profit321$4,627$1,724 – $27,316
System affiliation
Part of a system346$5,339$1,902 – $28,499
Independent73$2,717$1,395 – $20,255

Cash price vs list price

Median list price (chargemaster)$5,753
Median cash price$4,881
Cash as a share of list, median hospital62%

At the typical hospital, asking for the cash price cuts the list price by about 38%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

198 hospitals filed a usable inpatient cash price for this code. The median is $2,165 and the average of the middle 60% is $4,068; most fall between $1,252 and $16,964.

Cash price percentiles, inpatient, across 198 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$820$1,386$2,165$12,558$32,301

The most expensive tenth of hospitals charges at least 39× what the cheapest tenth charges ($820 vs $32,301).

Of the 220 hospitals that filed this code inpatient, 198 gave a usable cash price; 13 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 9 a list price only.

How complete is this

419 of the 3,956 hospitals with a price file in our corpus (11%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 469 hospitals that filed this code at all gave us
Usable cash price — counted419
Cash price carrying a plausibility flag — shown on the compare tool, excluded here32
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded6
A list price only, no cash figure — excluded11
Hospitals that filed this code469

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Genitourinary incontinence procedures family.

Hospitals file this code under descriptions such as Insj Inflatable Urethral/Bladder Neck Sphincter.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Implant of artificial urinary sphincter (CPT 53445) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-53445-implant-of-artificial-urinary-sphincter