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One-Stage Hypospadias Repair With Skin Flaps

West 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?

$1,023

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $1,023 for this service. The price depends on where it is billed: about $1,072 from a physician practice, and about $955 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 4 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$1,072$955 to $1,072
FacilityA hospital or hospital-owned outpatient department$955$955 to $1,514

How much rates vary

Facilitymedian $955 · 10th to 90th $955 to $1,738Professionalmedian $1,072 · 10th to 90th $912 to $1,349
$1.0K$2.0K$5.0K$10.0Kfacility $955professional $1,072

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
$954.99
Median
$954.99
Typical High
$1,737.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,071.52
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,202.26
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,348.96
Typical High
$6,309.57
United
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$3,235.94
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,047.13
Typical High
$1,621.81

Where West 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.

West Virginia $1,023 · 50th 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.