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Simple Repair Of A Prior Hypospadias Surgery Complication

Michigan rates for HCPCS 54340

This procedure repairs a complication, such as an abnormal opening or narrowing, that developed after an earlier surgery to correct hypospadias, a condition present at birth affecting the location of the urinary opening. This version addresses the problem using a relatively straightforward surgical technique. It is typically performed when the complication is limited in size and does not require extensive tissue reconstruction.

Rates data updated July 2026.

How much does Simple Repair Of A Prior Hypospadias Surgery Complication cost?

$724

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $724 for this service. The price depends on where it is billed: about $661 from a physician practice, and about $4,898 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 6 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$661$562 to $724
FacilityA hospital or hospital-owned outpatient department$4,898$4,074 to $4,898

How much rates vary

Facilitymedian $4,898 · 10th to 90th $724 to $6,918Professionalmedian $661 · 10th to 90th $513 to $813
$200$500$1K$2K$5K$10Kfacility $4,898professional $661

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
$724.44
Median
$4,897.79
Typical High
$5,754.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$588.84
Typical High
$724.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$501.19
Typical High
$501.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$812.83
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$660.69
Typical High
$1,819.70
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$4,073.80
Typical High
$5,754.40
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$676.08
Typical High
$912.01
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$6,025.60
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$724.44
Typical High
$954.99

Where Michigan sits

The same service costs 10.7 times more in California than in West Virginia. 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.

Michigan· 46th of 51

$724

CA $6,310WV $589

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.