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Urethra Rebuild For Hypospadias, Longer Segment

South Dakota 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 South Dakota, July 2026.

Insurers have agreed to pay about $1,413 for this service. The price depends on where it is billed: about $1,380 from a physician practice, and about $2,291 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$1,380$813 to $1,862
FacilityA hospital or hospital-owned outpatient department$2,291$1,148 to $3,548

How much rates vary

Facilitymedian $2,291 · 10th to 90th $977 to $4,365Professionalmedian $1,380 · 10th to 90th $692 to $2,344
$1K$2K$5Kfacility $2,291professional $1,380

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$3,548.13
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$741.31
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,862.09
Typical High
$2,344.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,513.56
Typical High
$2,290.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,479.11
Typical High
$7,762.47
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,778.28
Typical High
$1,905.46
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,380.38
Typical High
$1,584.89
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,621.81
Typical High
$2,290.87
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,737.80
Typical High
$1,819.70

Where South Dakota 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.

South Dakota· 21st 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.