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Reconstruction Of A Cloacal Birth Defect

Pennsylvania 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 Pennsylvania, 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 $5,370 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 9 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$3,981 to $4,898
FacilityA hospital or hospital-owned outpatient department$5,370$2,818 to $7,762

How much rates vary

Facilitymedian $5,370 · 10th to 90th $1,023 to $8,511Professionalmedian $4,365 · 10th to 90th $3,548 to $6,310
$500$1K$2K$5K$10K$20Kfacility $5,370professional $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
$1,412.54
Median
$5,370.32
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$4,365.16
Typical High
$5,754.40
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$21,379.62
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$6,025.60
Median
$6,456.54
Typical High
$6,456.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$2,089.30
Typical High
$36,307.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$4,570.88
Typical High
$8,317.64
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$8,912.51
Typical High
$8,912.51
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$6,165.95
Typical High
$8,317.64
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$4,365.16
Typical High
$6,918.31
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$4,786.30
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$4,365.16
Typical High
$6,456.54
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$3,019.95
Typical High
$8,511.38
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$8,511.38
Typical High
$8,912.51
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$4,168.69
Typical High
$4,365.16
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$2,344.23
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$4,570.88
Typical High
$7,762.47

Where Pennsylvania 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.

Pennsylvania· 46th 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.