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One-Stage Hypospadias Repair With Skin Flaps

New Jersey 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?

$1,413

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $1,413 for this service. The price depends on where it is billed: about $1,047 from a physician practice, and about $6,918 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 5 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$1,047$912 to $1,660
FacilityA hospital or hospital-owned outpatient department$6,918$5,888 to $9,333

How much rates vary

Facilitymedian $6,918 · 10th to 90th $2,818 to $11,482Professionalmedian $1,047 · 10th to 90th $832 to $5,888
$1K$2K$5K$10Kfacility $6,918professional $1,047

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
$2,818.38
Median
$6,918.31
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,023.29
Typical High
$8,511.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,258.93
Typical High
$2,398.83
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,202.26
Typical High
$1,584.89
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$10,715.19
Typical High
$15,848.93
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,071.52
Typical High
$2,454.71
United
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$7,079.46
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$977.24
Typical High
$1,862.09

Where New Jersey 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.

New Jersey· 37th of 51

$1,413

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.