go back

Later-Stage Hypospadias Repair Of The Penis

Delaware rates for HCPCS 54318

A later operation in a staged repair of hypospadias, a difference present from birth in which the opening for urine is not at the tip of the penis. In this stage the penis is freed from the scrotal skin it was joined to during the earlier surgery, and the skin is rearranged to give it a normal separate outline. It is done in childhood, weeks or months after the previous stage has healed.

Rates data updated October 2026.

How much does Later-Stage Hypospadias Repair Of The Penis cost?

$955

Typical negotiated rate. In Delaware, October 2026.

Insurers have agreed to pay about $955 for this service. The price depends on where it is billed: about $741 from a physician practice, and about $1,905 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 3 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$741$646 to $955
FacilityA hospital or hospital-owned outpatient department$1,905$1,288 to $2,818

How much rates vary

Facilitymedian $1,905 · 10th to 90th $776 to $3,388Professionalmedian $741 · 10th to 90th $631 to $1,259
$200$500$1K$2K$5Kfacility $1,905professional $741

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
$630.96
Median
$4,897.79
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$630.96
Median
$630.96
Typical High
$724.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$2,187.76
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$630.96
Median
$851.14
Typical High
$1,258.93
United
Setting
Facility
Modifier
None
Typical Low
$1,023.29
Median
$1,819.70
Typical High
$3,388.44
United
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$831.76
Typical High
$1,288.25

Where Delaware sits

The same service costs 7.2 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.

Delaware· 33rd of 51

$955

OK $3,802UT $525

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.