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One-Stage Hypospadias Repair With Skin Flaps

Montana 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?

$1,622

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $1,622 for this service. The price depends on where it is billed: about $1,622 from a physician practice, and about $1,622 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$1,622$1,380 to $1,905
FacilityA hospital or hospital-owned outpatient department$1,622$1,585 to $1,738

How much rates vary

Facilitymedian $1,622 · 10th to 90th $1,479 to $10,000Professionalmedian $1,622 · 10th to 90th $977 to $5,012
$100.0$1.0K$10.0K$100.0Kfacility $1,622professional $1,622

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
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,778.28
Typical High
$5,011.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,479.11
Typical High
$1,584.89
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,621.81
Typical High
$1,949.84
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,621.81
Typical High
$1,949.84
Providence
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,380.38
Typical High
$1,778.28
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,122.02
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,584.89
Typical High
$2,344.23

Where Montana sits

The same service costs 5.5 times more in California than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Montana $1,622 · 22nd of 51
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.