go back

One-Stage Hypospadias Repair With Skin Flaps

South Dakota 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?

$1,660

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $1,660 for this service. The price depends on where it is billed: about $1,622 from a physician practice, and about $2,630 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 7 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$977 to $2,138
FacilityA hospital or hospital-owned outpatient department$2,630$1,318 to $3,548

How much rates vary

Facilitymedian $2,630 · 10th to 90th $1,122 to $4,365Professionalmedian $1,622 · 10th to 90th $794 to $2,692
$1K$2K$5Kfacility $2,630professional $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. 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
Global
Typical Low
$954.99
Median
$3,548.13
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$851.14
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,137.96
Typical High
$2,691.53
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,737.80
Typical High
$2,630.27
Medica
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,698.24
Typical High
$8,317.64
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,041.74
Typical High
$2,238.72
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,584.89
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,862.09
Typical High
$2,630.27
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,995.26
Typical High
$2,089.30

Where South Dakota 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.

South Dakota· 20th of 51

$1,660

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.