go back

Urethra Rebuild For Hypospadias, Longer Segment

Ohio 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?

$1,445

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $1,445 for this service. The price depends on where it is billed: about $955 from a physician practice, and about $5,754 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 8 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$832 to $1,349
FacilityA hospital or hospital-owned outpatient department$5,754$2,692 to $7,762

How much rates vary

Facilitymedian $5,754 · 10th to 90th $1,549 to $10,965Professionalmedian $955 · 10th to 90th $759 to $5,754
$50$200$1K$5Kfacility $5,754professional $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
$1,548.82
Median
$6,918.31
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,047.13
Typical High
$8,912.51
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,548.13
Typical High
$15,135.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$933.25
Typical High
$1,659.59
CareSource
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$831.76
Typical High
$933.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$1,071.52
Typical High
$1,621.81
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$1,071.52
Typical High
$1,621.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$891.25
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$5,495.41
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$954.99
Typical High
$1,548.82

Where Ohio 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.

Ohio· 19th of 51

$1,445

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.