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Reconstruction Of A Cloacal Birth Defect

Ohio 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?

$4,365

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $4,365 for this service. The price depends on where it is billed: about $4,365 from a physician practice, and about $7,413 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 8 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$4,365$3,715 to $5,129
FacilityA hospital or hospital-owned outpatient department$7,413$3,715 to $10,715

How much rates vary

Facilitymedian $7,413 · 10th to 90th $2,399 to $14,125Professionalmedian $4,365 · 10th to 90th $3,311 to $6,607
$50$200$1K$5K$20Kfacility $7,413professional $4,365

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
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$9,549.93
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$4,466.84
Typical High
$6,165.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$5,623.41
Typical High
$14,791.08
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$6,456.54
CareSource
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$4,073.80
Typical High
$5,248.07
CareSource
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$5,011.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$6,918.31
Typical High
$6,918.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$5,128.61
Typical High
$9,120.11
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$7,244.36
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$5,128.61
Typical High
$8,709.64
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,677.35
Typical High
$8,912.51
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$2,884.03
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$4,466.84
Typical High
$7,943.28

Where Ohio 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.

Ohio· 47th of 51

$4,365

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.