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One-Stage Hypospadias Repair With Skin Flaps

Michigan 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?

$1,202

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $1,202 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $4,898 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$1,175$933 to $1,318
FacilityA hospital or hospital-owned outpatient department$4,898$4,074 to $7,244

How much rates vary

Facilitymedian $4,898 · 10th to 90th $2,818 to $7,244Professionalmedian $1,175 · 10th to 90th $851 to $2,630
$500$1K$2K$5K$10Kfacility $4,898professional $1,175

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
$4,073.80
Median
$4,897.79
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,071.52
Typical High
$2,630.27
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$1,318.26
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,096.48
Typical High
$3,019.95
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$4,073.80
Typical High
$5,754.40
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,122.02
Typical High
$1,513.56
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
United
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$6,025.60
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,202.26
Typical High
$1,584.89

Where Michigan 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.

Michigan· 46th of 51

$1,202

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.