About $185. Very low maintenance. You will need one as your dives become longer and if you go tech later on. Stay hydrated. You can get one installed later. No need to send back to the manufacturer if you have a competent LDS, But just get one.
Fyi - a pee valve requires the fitting of a condom catheter (sized smaller than you think or are willing to share information on the size you require) and adhesive, hence requiring shaving to avoid more uncomfortable removal. So I would wait until you feel you want to deal with the hassle and added maintenance.
I have a USIA that worked quite well although baggy as I purchased it in a hurry before a big trip. I would recommend custom sizing. I would get another but with a front waist zip - low stress positon and real self donning position. I like thier heavy duty boots and dump valves. I should tryit on again - I may fill it out much more than I used to...I found the fiber insulation suits like weezle did not work as well in this suit as perhaps a more crush resistant insulation layer.