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Later-Stage Hypospadias Repair Of The Penis

Vermont 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?

$1,122

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $1,122 for this service. Most negotiated rates run $912 to $1,202.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

How much rates vary

Facilitymedian $2,188 · 10th to 90th $468 to $3,802Professionalmedian $1,047 · 10th to 90th $708 to $1,622
$200$500$1K$2Kfacility $2,188professional $1,047

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
Professional
Modifier
None
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Cigna
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$1,174.90
Typical High
$1,202.26
United
Setting
Facility
Modifier
None
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76
United
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$1,047.13
Typical High
$1,737.80

Where Vermont 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.

Vermont· 23rd of 51

$1,122

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.