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Later-Stage Hypospadias Repair Of The Penis

West Virginia 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?

$1,000

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $1,000 for this service. The price depends on where it is billed: about $977 from a physician practice, and about $1,862 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$977$724 to $1,950
FacilityA hospital or hospital-owned outpatient department$1,862$1,585 to $2,884

How much rates vary

Facilitymedian $1,862 · 10th to 90th $1,413 to $4,677Professionalmedian $977 · 10th to 90th $617 to $2,239
$500$1K$2K$5K$10Kfacility $1,862professional $977

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
$1,412.54
Median
$1,412.54
Typical High
$1,737.80
Aetna
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
CareSource
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,148.15
Median
$1,862.09
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$1,096.48
Typical High
$5,128.61
United
Setting
Facility
Modifier
None
Typical Low
$1,479.11
Median
$2,089.30
Typical High
$9,772.37
United
Setting
Professional
Modifier
None
Typical Low
$575.44
Median
$851.14
Typical High
$1,949.84

Where West Virginia 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.

West Virginia· 32nd of 51

$1,000

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.