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Urethra Rebuild For Hypospadias, Longer Segment

Iowa 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?

$2,089

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $2,089 for this service. The price depends on where it is billed: about $1,479 from a physician practice, and about $5,012 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$1,479$912 to $2,754
FacilityA hospital or hospital-owned outpatient department$5,012$3,467 to $7,079

How much rates vary

Facilitymedian $5,012 · 10th to 90th $1,514 to $9,333Professionalmedian $1,479 · 10th to 90th $759 to $4,898
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $5,012professional $1,479

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
$1,348.96
Median
$4,897.79
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,348.96
Typical High
$4,897.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,905.46
Typical High
$2,344.23
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,513.56
Typical High
$3,311.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$3,162.28
Typical High
$9,549.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,621.81
Typical High
$7,762.47
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,995.26
Typical High
$2,884.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,187.76
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$7,585.78
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,380.38
Typical High
$2,570.40
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,479.11
Typical High
$1,737.80

Where Iowa sits

The same service costs 7.8 times more in California than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Iowa $2,089 · 9th of 51
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.