Price Checker / CPT 53449
How much does Repair Uro Sphincter cost?
CPT 53449 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 27x the fair price — among the most extreme markups. Dispute this.
Fair price
$840–$1,700
What this should cost
With insurance
~$4,300
Typical out-of-pocket
Overcharged if over
$2,150
Push back above this
The average hospital charge of $33,908 is $32,658 over the fair price (about 27x the fair rate).
What hospitals charge for Repair Uro Sphincter
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| WTH Henry County Hospital , TN | $33,908 | — | 4749% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Repair Uro Sphincter
CPT code 53449 refers to repair uro sphincter (billing description: "Repair uro sphincter"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $559 in a facility (hospital or surgery center) and $559 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.