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Procedure price report · Procedures on the urethra

Removal of artificial urinary sphincter

CPT 53446the billing code this page is about

Surgical removal of a previously implanted inflatable urinary sphincter, including its cuff, pump, and fluid reservoir.

Hospitals typically charge $2,902 cash for this outpatient procedure — the median across 364 hospitals that filed a usable cash price; the average of the middle 60% is $3,188. Most fall between $1,083 and $6,693 (20th–80th percentile).

Hospitals
364
States
42
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 364 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
$777$1,178$2,902$6,016$12,644

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($777 vs $12,644).

How the prices are spread

$645 – $869: 32 hospitals$645$869 – $1,171: 41 hospitals$1,171 – $1,579: 32 hospitals$1,171$1,579 – $2,128: 41 hospitals$2,128 – $2,868: 19 hospitals$2,128$2,868 – $3,865: 38 hospitals$3,865 – $5,209: 23 hospitals$3,865$5,209 – $7,020: 59 hospitals$7,020 – $9,461: 15 hospitals$7,020$9,461 – $12,751: 32 hospitals$9,461median $2,902price bands are equal on a log scale
Hospitals per price band (332 of 364 — the bands cover the 5th to 95th percentile)
FromToHospitals
$645$86932
$869$1,17141
$1,171$1,57932
$1,579$2,12841
$2,128$2,86819
$2,868$3,86538
$3,865$5,20923
$5,209$7,02059
$7,020$9,46115
$9,461$12,75132

Against Medicare

Medicare pays (OPPS 2026, national rate)$5,478
Median cash price$2,902
Cash as a multiple of Medicare0.53×

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 $2,902.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 4 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 6 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $2,978 across 14 hospitalsMN$2,978Illinois: median $1,141 across 11 hospitalsIL$1,141Wisconsin: median $3,012 across 23 hospitalsWI$3,012Michigan: median $797 across 27 hospitalsMI$797New York: median $6,016 across 24 hospitalsNY$6,016Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $1,410 across 14 hospitalsOR$1,410Nevada: 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: no hospital in the corpus filed a usable priceSDIowa: median $1,619 across 16 hospitalsIA$1,619Indiana: 6 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $2,865 across 10 hospitalsOH$2,865Pennsylvania: median $1,631 across 19 hospitalsPA$1,631New Jersey: median $5,632 across 28 hospitalsNJ$5,632Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $12,751 across 29 hospitalsCA$12,751Utah: no hospital in the corpus filed a usable priceUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 2 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 3 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: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: no hospital in the corpus filed a usable priceKSArkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,064 across 13 hospitalsOK$1,064Louisiana: median $2,176 across 11 hospitalsLA$2,176Mississippi: 6 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 6 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $4,999 across 22 hospitalsTX$4,999Florida: 8 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,902. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA29$12,751+339%$1,465 – $12,751
New York NY24$6,016+107%$1,632 – $6,364
New Jersey NJ28$5,632+94%$5,110 – $6,783
Texas TX22$4,999+72%$4,435 – $5,821
Wisconsin WI23$3,012+4%$3,012 – $3,278
Minnesota MN14$2,978+3%$2,267 – $4,366
Ohio OH10$2,865−1%$1,688 – $2,902
Louisiana LA11$2,176−25%$1,778 – $3,515
Pennsylvania PA19$1,631−44%$178 – $8,595
Iowa IA16$1,619−44%$1,619 – $1,619
Oregon OR14$1,410−51%$1,178 – $2,169
Illinois IL11$1,141−61%$1,141 – $1,462
Oklahoma OK13$1,064−63%$1,064 – $7,830
Michigan MI27$797−73%$777 – $3,012
Florida FL8not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Alabama AL6not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Indiana IN6not enough hospitals filed a usable price
Mississippi MS6not enough hospitals filed a usable price
Washington WA6not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Maine ME4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Missouri MO2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Mexico NM1not 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 $2,902.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care301$2,978$1,083 – $6,783
Children’s3fewer than 20 hospitals
Critical access59$2,169$1,067 – $3,278
Ownership
For-profit32$3,012$1,141 – $8,247
Government48$1,725$1,147 – $6,016
Non-profit283$2,978$1,064 – $6,501
System affiliation
Part of a system302$3,012$1,141 – $6,783
Independent62$1,436$1,032 – $5,103

Cash price vs list price

Median list price (chargemaster)$2,711
Median cash price$2,902
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. 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

180 hospitals filed a usable inpatient cash price for this code. The median is $1,619 and the average of the middle 60% is $2,281; most fall between $1,064 and $5,821.

Cash price percentiles, inpatient, across 180 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
$684$1,141$1,619$4,435$12,751

The most expensive tenth of hospitals charges at least 19× what the cheapest tenth charges ($684 vs $12,751).

Of the 195 hospitals that filed this code inpatient, 180 gave a usable cash price; 11 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 4 a list price only.

How complete is this

364 of the 3,956 hospitals with a price file in our corpus (9%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 401 hospitals that filed this code at all gave us
Usable cash price — counted364
Cash price carrying a plausibility flag — shown on the compare tool, excluded here29
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded5
Hospitals that filed this code401

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 23, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Procedures on the urethra family.

Hospitals file this code under descriptions such as Remvl 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, “Removal of artificial urinary sphincter (CPT 53446) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-53446-removal-of-artificial-urinary-sphincter