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Urethra Rebuild For Hypospadias, Longer Segment

West Virginia 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?

$832

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $832 for this service. The price depends on where it is billed: about $832 from a physician practice, and about $832 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 4 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$832$832 to $933
FacilityA hospital or hospital-owned outpatient department$832$832 to $1,413

How much rates vary

Facilitymedian $832 · 10th to 90th $832 to $1,738Professionalmedian $832 · 10th to 90th $794 to $1,175
$1.0K$2.0K$5.0K$10.0Kfacility $832professional $832

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
$831.76
Median
$831.76
Typical High
$1,737.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$831.76
Typical High
$933.25
CareSource
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,047.13
CareSource
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,174.90
Typical High
$5,754.40
United
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$3,235.94
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$912.01
Typical High
$1,445.44

Where West Virginia sits

The same service costs 7.8 times more in California than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

West Virginia $832 · 51st of 51
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.