go back

Urethra Rebuild For Hypospadias, Longer Segment

Massachusetts 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?

$1,318

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $1,318 for this service. The price depends on where it is billed: about $1,096 from a physician practice, and about $3,311 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$1,096$871 to $1,778
FacilityA hospital or hospital-owned outpatient department$3,311$2,089 to $4,677

How much rates vary

Facilitymedian $3,311 · 10th to 90th $832 to $7,762Professionalmedian $1,096 · 10th to 90th $759 to $2,630
$500$1K$2K$5K$10K$20K$50Kfacility $3,311professional $1,096

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
$1,778.28
Median
$3,311.31
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$933.25
Typical High
$4,365.16
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$5,888.44
Typical High
$45,708.82
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,258.93
Typical High
$7,762.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$1,230.27
Typical High
$2,187.76
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$954.99
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$812.83
Typical High
$1,202.26
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$5,248.07
Typical High
$11,220.18
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,380.38
Typical High
$2,344.23
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$5,888.44
Typical High
$45,708.82
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,258.93
Typical High
$7,762.47
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$5,248.07
Typical High
$11,220.18
United
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,479.11
Typical High
$3,019.95

Where Massachusetts 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.

Massachusetts· 28th of 51

$1,318

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.