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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 October 2026.

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

$1,820

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $1,820 for this service. The price depends on where it is billed: about $1,738 from a physician practice, and about $1,995 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,738$1,318 to $1,905
FacilityA hospital or hospital-owned outpatient department$1,995$1,148 to $2,239

How much rates vary

Facilitymedian $1,995 · 10th to 90th $1,096 to $2,570Professionalmedian $1,738 · 10th to 90th $871 to $2,344
$1K$2K$5Kfacility $1,995professional $1,738

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$812.83
Median
$3,548.13
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$691.83
Typical High
$831.76
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$2,041.74
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$1,905.46
Typical High
$2,344.23
Medica
Setting
Facility
Modifier
None
Typical Low
$1,071.52
Median
$1,862.09
Typical High
$2,398.83
Medica
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$2,187.76
Typical High
$7,762.47
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$1,905.46
Typical High
$1,905.46
Midlands
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$2,089.30
Typical High
$2,570.40
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,348.96
Typical High
$1,584.89
United
Setting
Facility
Modifier
None
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$2,398.83
United
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$2,089.30
Typical High
$2,290.87
Wellmark
Setting
Professional
Modifier
None
Typical Low
$1,479.11
Median
$1,819.70
Typical High
$1,819.70

Where South Dakota 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.

South Dakota· 9th of 51

$1,820

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.