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One-Stage Hypospadias Repair With Skin Flaps

Illinois rates for HCPCS 54326

Surgery in a boy whose urine channel opens on the underside of the penis instead of at the tip. In a single operation the surgeon builds the missing part of the channel using flaps of nearby skin and frees the existing channel so it can be brought into a better position.

Rates data updated July 2026.

How much does One-Stage Hypospadias Repair With Skin Flaps cost?

$1,549

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $1,549 for this service. The price depends on where it is billed: about $1,122 from a physician practice, and about $2,138 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 6 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$1,122$933 to $1,778
FacilityA hospital or hospital-owned outpatient department$2,138$1,549 to $5,129

How much rates vary

Facilitymedian $2,138 · 10th to 90th $1,047 to $9,333Professionalmedian $1,122 · 10th to 90th $891 to $2,630
$200$500$1K$2K$5K$10K$20Kfacility $2,138professional $1,122

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
$1,047.13
Median
$1,862.09
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,047.13
Typical High
$2,238.72
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$5,370.32
Typical High
$20,892.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,621.81
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,288.25
Typical High
$1,905.46
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,548.82
Typical High
$5,495.41
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,174.90
Typical High
$1,288.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,365.16
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,258.93
Typical High
$2,089.30

Where Illinois sits

The same service costs 5.5 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.

Illinois· 26th of 51

$1,549

CA $5,623DE $1,023

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.