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Urethral Reconstruction, Longer Segment

West Virginia rates for HCPCS 54324

This is a surgical repair used when the opening where urine exits the penis is not in its usual position, a condition present from birth. It reconstructs the urinary channel in a case where the segment needing repair is longer, which typically calls for a more extensive rebuilding of the passage. It is completed in a single operation rather than as part of a multi-stage approach.

Rates data updated October 2026.

How much does Urethral Reconstruction, Longer Segment cost?

$1,380

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $1,380 for this service. The price depends on where it is billed: about $1,349 from a physician practice, and about $2,570 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$1,349$977 to $2,570
FacilityA hospital or hospital-owned outpatient department$2,570$1,738 to $3,548

How much rates vary

Facilitymedian $2,570 · 10th to 90th $1,549 to $4,677Professionalmedian $1,349 · 10th to 90th $832 to $3,020
$1K$2K$5K$10Kfacility $2,570professional $1,349

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
$977.24
Median
$977.24
Typical High
$1,000.00
CareSource
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,548.82
Median
$1,862.09
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$1,513.56
Typical High
$6,606.93
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$3,162.28
Typical High
$9,772.37
United
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$1,174.90
Typical High
$2,570.40

Where West Virginia sits

The same service costs 5.9 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· 28th of 51

$1,380

OK $4,074UT $692

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.