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Procedure price report · Genitourinary incontinence procedures

Repair of artificial urinary sphincter

CPT 53449the billing code this page is about

Surgical repair of an implanted inflatable urinary sphincter device, including its cuff, pump, or fluid reservoir.

Hospitals typically charge $2,995 cash for this outpatient procedure — the median across 276 hospitals that filed a usable cash price; the average of the middle 60% is $4,000. Most fall between $1,069 and $11,237 (20th–80th percentile).

Hospitals
276
States
41
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 276 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
$945$1,125$2,995$10,244$14,000

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($945 vs $14,000).

How the prices are spread

$666 – $905: 12 hospitals$666$905 – $1,230: 55 hospitals$1,230 – $1,673: 32 hospitals$1,230$1,673 – $2,274: 10 hospitals$2,274 – $3,092: 24 hospitals$2,274$3,092 – $4,203: 14 hospitals$4,203 – $5,714: 19 hospitals$4,203$5,714 – $7,769: 18 hospitals$7,769 – $10,562: 11 hospitals$7,769$10,562 – $14,359: 55 hospitals$10,562median $2,995price bands are equal on a log scale
Hospitals per price band (250 of 276 — the bands cover the 5th to 95th percentile)
FromToHospitals
$666$90512
$905$1,23055
$1,230$1,67332
$1,673$2,27410
$2,274$3,09224
$3,092$4,20314
$4,203$5,71419
$5,714$7,76918
$7,769$10,56211
$10,562$14,35955

Against Medicare

Medicare pays (OPPS 2026, national rate)$9,672
Median cash price$2,995
Cash as a multiple of Medicare0.31×

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 $2,995.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 3 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 6 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: 2 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,069 across 11 hospitalsIL$1,069Wisconsin: median $2,995 across 19 hospitalsWI$2,995Michigan: median $1,596 across 26 hospitalsMI$1,596New York: median $10,943 across 20 hospitalsNY$10,943Massachusetts: no hospital in the corpus filed a usable priceMAOregon: 5 hospitals filed a usable price — fewer than 10, so no figureORNevada: 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 $1,543 across 14 hospitalsIA$1,543Indiana: 4 hospitals filed a usable price — fewer than 10, so no figureINOhio: 8 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $13,657 across 10 hospitalsPA$13,657New Jersey: median $6,311 across 22 hospitalsNJ$6,311Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $14,000 across 24 hospitalsCA$14,000Utah: no hospital in the corpus filed a usable priceUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 3 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: 2 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: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 6 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 $1,014 across 13 hospitalsOK$1,014Louisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 1 hospital 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 $4,529 across 20 hospitalsTX$4,529Florida: 9 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,995. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA24$14,000+367%$14,000 – $14,000
Pennsylvania PA10$13,657+356%$2,772 – $17,425
New York NY20$10,943+265%$1,863 – $10,943
New Jersey NJ22$6,311+111%$4,881 – $10,244
Texas TX20$4,529+51%$4,529 – $5,944
Wisconsin WI19$2,9950%$2,995 – $3,132
Michigan MI26$1,596−47%$960 – $2,995
Iowa IA14$1,543−48%$1,543 – $1,543
Illinois IL11$1,069−64%$1,069 – $1,543
Oklahoma OK13$1,014−66%$1,014 – $7,076
Florida FL9not enough hospitals filed a usable price
Ohio OH8not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Indiana IN4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Washington WA3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Minnesota MN2not 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
West Virginia WV2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Alabama AL1not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Mexico NM1not 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 $2,995.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care232$2,995$1,069 – $11,682
Children’s2fewer than 20 hospitals
Critical access41$2,995$1,041 – $3,515
Ownership
For-profit25$2,115$1,069 – $6,516
Government34$1,527$1,085 – $10,943
Non-profit216$2,995$1,069 – $11,817
System affiliation
Part of a system237$3,132$1,069 – $11,237
Independent39$1,287$982 – $9,282

Cash price vs list price

Median list price (chargemaster)$3,055
Median cash price$2,995
Cash as a share of list, median hospital61%

At the typical hospital, asking for the cash price cuts the list price by about 39%. 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

153 hospitals filed a usable inpatient cash price for this code. The median is $1,700 and the average of the middle 60% is $2,453; most fall between $1,014 and $8,529.

Cash price percentiles, inpatient, across 153 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
$754$1,069$1,700$5,944$14,000

The most expensive tenth of hospitals charges at least 19× what the cheapest tenth charges ($754 vs $14,000).

Of the 175 hospitals that filed this code inpatient, 153 gave a usable cash price; 18 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

276 of the 3,956 hospitals with a price file in our corpus (7%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 305 hospitals that filed this code at all gave us
Usable cash price — counted276
Cash price carrying a plausibility flag — shown on the compare tool, excluded here22
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 — excluded4
Hospitals that filed this code305

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 Genitourinary incontinence procedures family.

Hospitals file this code under descriptions such as Rpr Nfltbl 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, “Repair of artificial urinary sphincter (CPT 53449) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-53449-repair-of-artificial-urinary-sphincter