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Urethra Rebuild For Hypospadias, Longer Segment

Michigan 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?

$1,047

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $1,047 for this service. The price depends on where it is billed: about $955 from a physician practice, and about $4,898 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 6 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$955$794 to $1,047
FacilityA hospital or hospital-owned outpatient department$4,898$4,074 to $4,898

How much rates vary

Facilitymedian $4,898 · 10th to 90th $1,047 to $6,918Professionalmedian $955 · 10th to 90th $724 to $1,148
$500$1K$2K$5K$10Kfacility $4,898professional $955

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
$1,047.13
Median
$4,897.79
Typical High
$5,754.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$933.25
Typical High
$1,047.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$707.95
Typical High
$707.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$1,148.15
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$954.99
Typical High
$2,630.27
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$4,073.80
Typical High
$5,754.40
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$977.24
Typical High
$1,380.38
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,630.27
United
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$6,025.60
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,071.52
Typical High
$1,412.54

Where Michigan 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.

Michigan· 47th of 51

$1,047

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.