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One-Stage Hypospadias Repair With Skin Flaps

Virginia 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?

$1,318

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $1,318 for this service. The price depends on where it is billed: about $1,122 from a physician practice, and about $4,169 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 8 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$1,047 to $1,585
FacilityA hospital or hospital-owned outpatient department$4,169$1,318 to $7,586

How much rates vary

Facilitymedian $4,169 · 10th to 90th $1,072 to $10,965Professionalmedian $1,122 · 10th to 90th $912 to $3,388
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $4,169professional $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
$1,230.27
Median
$5,128.61
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,071.52
Typical High
$4,265.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,174.90
Typical High
$1,698.24
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,412.54
Typical High
$12,022.64
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,230.27
Typical High
$2,187.76
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$977.24
Typical High
$2,570.40
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,548.82
Typical High
$2,187.76
Medcost
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,348.96
Typical High
$1,949.84
Sentara
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,258.93
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,258.93
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$8,709.64
Typical High
$17,782.79
United
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,202.26
Typical High
$1,949.84

Where Virginia 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.

Virginia $1,318 · 39th 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.