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Urethra Rebuild For Hypospadias, Longer Segment

Montana 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 October 2026.

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

$1,288

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $1,288 for this service. The price depends on where it is billed: about $1,259 from a physician practice, and about $1,288 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,259$832 to $1,288
FacilityA hospital or hospital-owned outpatient department$1,288$1,259 to $1,479

How much rates vary

Facilitymedian $1,288 · 10th to 90th $1,175 to $2,754Professionalmedian $1,259 · 10th to 90th $79 to $1,445
$100$200$500$1K$2K$5Kfacility $1,288professional $1,259

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$851.14
Typical High
$1,621.81
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$2,754.23
Typical High
$7,943.28
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$1,258.93
Typical High
$1,445.44
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$1,258.93
Typical High
$1,348.96
Providence
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$2,754.23
Typical High
$7,943.28
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$1,096.48
Typical High
$1,288.25
United
Setting
Facility
Modifier
None
Typical Low
$1,479.11
Median
$2,884.03
Typical High
$4,570.88
United
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,412.54
Typical High
$1,949.84

Where Montana sits

The same service costs 6.6 times more in Oklahoma than in Utah. 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.

Montana· 23rd of 51

$1,288

OK $3,802UT $575

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.