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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 July 2026.

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

$1,413

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $1,413 for this service. The price depends on where it is billed: about $1,413 from a physician practice, and about $1,413 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$1,413$851 to $1,585
FacilityA hospital or hospital-owned outpatient department$1,413$1,380 to $1,549

How much rates vary

Facilitymedian $1,413 · 10th to 90th $1,288 to $10,000Professionalmedian $1,413 · 10th to 90th $851 to $4,365
$100$1K$10K$100Kfacility $1,413professional $1,413

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
Professional
Modifier
Global
Typical Low
$794.33
Median
$851.14
Typical High
$4,365.16
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,288.25
Typical High
$1,380.38
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,412.54
Typical High
$1,698.24
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,412.54
Typical High
$1,698.24
Providence
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,174.90
Typical High
$1,621.81
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$977.24
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,412.54
Typical High
$2,041.74

Where Montana 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.

Montana· 22nd of 51

$1,413

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.