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One-Stage Repair Of Distal Hypospadias

New Jersey rates for HCPCS 54328

This service surgically corrects a birth condition in which the opening for urination is positioned abnormally on the underside of the penis, near the tip, sometimes along with curvature of the penis. In this version, the surgeon corrects the curvature and rebuilds the urinary channel in a single operation. It is performed in infancy or early childhood.

Rates data updated July 2026.

How much does One-Stage Repair Of Distal Hypospadias cost?

$1,288

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $1,288 for this service. The price depends on where it is billed: about $1,047 from a physician practice, and about $7,244 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$891 to $1,660
FacilityA hospital or hospital-owned outpatient department$7,244$6,026 to $10,000

How much rates vary

Facilitymedian $7,244 · 10th to 90th $4,169 to $11,749Professionalmedian $1,047 · 10th to 90th $813 to $5,888
$1K$2K$5K$10K$20Kfacility $7,244professional $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
$4,168.69
Median
$6,918.31
Typical High
$11,220.18
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
$11,220.18
Typical High
$18,197.01
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,047.13
Typical High
$2,454.71
United
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$8,709.64
Typical High
$18,197.01
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$977.24
Typical High
$1,862.09

Where New Jersey sits

The same service costs 6.5 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· 39th of 51

$1,288

CA $6,457DE $1,000

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.