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Later-Stage Hypospadias Repair Of The Penis

Kansas 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 July 2026.

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

$1,148

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $1,148 for this service. The price depends on where it is billed: about $955 from a physician practice, and about $3,631 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 5 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$871 to $1,148
FacilityA hospital or hospital-owned outpatient department$3,631$2,399 to $6,918

How much rates vary

Facilitymedian $3,631 · 10th to 90th $1,148 to $8,511Professionalmedian $955 · 10th to 90th $724 to $1,349
$1K$2K$5K$10K$20Kfacility $3,631professional $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
$1,819.70
Median
$3,890.45
Typical High
$9,120.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$891.25
Typical High
$1,348.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$954.99
Typical High
$1,479.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,698.24
Typical High
$26,302.68
Medica
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$831.76
Typical High
$5,370.32
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,630.27
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$831.76
Typical High
$1,348.96

Where Kansas sits

The same service costs 9.3 times more in California than in Delaware. 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.

Kansas· 29th of 51

$1,148

CA $7,079DE $759

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.