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Urethra Rebuild For Hypospadias, Longer Segment

Colorado rates for HCPCS 54312

A staged operation that rebuilds a longer length of the urethra, the tube that carries urine out of the body, in a boy born with the opening in the wrong place. Tissue already at the site is formed into the new channel; versions that bring in a skin graft from elsewhere on the body are a different operation. What sets this version apart is the length of urethra rebuilt.

Rates data updated July 2026.

How much does Urethra Rebuild For Hypospadias, Longer Segment cost?

$3,236

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $3,236 for this service. The price depends on where it is billed: about $1,023 from a physician practice, and about $6,918 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 7 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$1,023$933 to $1,202
FacilityA hospital or hospital-owned outpatient department$6,918$4,365 to $10,233

How much rates vary

Facilitymedian $6,918 · 10th to 90th $1,862 to $13,183Professionalmedian $1,023 · 10th to 90th $794 to $2,042
$1K$2K$5K$10K$20Kfacility $6,918professional $1,023

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
$1,862.09
Median
$5,495.41
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$933.25
Typical High
$2,187.76
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$9,549.93
Typical High
$15,135.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,122.02
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,230.27
Typical High
$1,659.59
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,174.90
Typical High
$1,698.24
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,071.52
Typical High
$3,548.13
Select Health
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,380.38
Typical High
$1,584.89
Select Health
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$831.76
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$6,918.31
Typical High
$15,848.93
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,258.93
Typical High
$2,041.74

Where Colorado sits

The same service costs 7.8 times more in California than in West Virginia. 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.

Colorado· 3rd of 51

$3,236

CA $6,457WV $832

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.