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Reconstruction Of A Cloacal Birth Defect

Montana rates for HCPCS 46748

Reconstructive surgery for a child born with a cloaca, in which the bowel, the vagina and the urinary tract empty through a single shared opening. The surgeon separates the three passages and rebuilds each with its own outlet, and lengthens the vagina using a segment of intestine or nearby tissue.

Rates data updated July 2026.

How much does Reconstruction Of A Cloacal Birth Defect cost?

$5,888

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $5,888 for this service. The price depends on where it is billed: about $5,012 from a physician practice, and about $7,244 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5,012$3,890 to $7,244
FacilityA hospital or hospital-owned outpatient department$7,244$5,495 to $7,413

How much rates vary

Facilitymedian $7,244 · 10th to 90th $4,365 to $8,318Professionalmedian $5,012 · 10th to 90th $3,715 to $10,471
$100$500$2K$10Kfacility $7,244professional $5,012

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$4,168.69
Typical High
$21,877.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$6,606.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$5,495.41
Typical High
$12,589.25
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$7,244.36
Typical High
$7,762.47
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$6,309.57
Median
$7,244.36
Typical High
$7,762.47
Providence
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$5,623.41
Typical High
$10,000.00
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$6,606.93
Typical High
$11,220.18
United
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$6,606.93
Typical High
$8,912.51

Where Montana sits

The same service costs 2.3 times more in Minnesota than in Vermont. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 10th of 51

$5,888

MN $9,550VT $4,074

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.