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Repair Of Hypospadias Complication

Montana rates for HCPCS 54344

This service repairs a complication that developed after an earlier surgery to correct a urinary-opening abnormality of the penis, such as a leak, opening, or narrowing along the reconstructed urinary channel. Fixing it requires moving nearby skin tissue into place, rather than simply closing the area. It is performed as a follow-up procedure when a prior repair has not fully healed as intended.

Rates data updated July 2026.

How much does Repair Of Hypospadias Complication cost?

$1,622

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $1,622 for this service. The price depends on where it is billed: about $1,622 from a physician practice, and about $1,622 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$1,622$1,000 to $2,951
FacilityA hospital or hospital-owned outpatient department$1,622$1,585 to $1,738

How much rates vary

Facilitymedian $1,622 · 10th to 90th $1,479 to $8,128Professionalmedian $1,622 · 10th to 90th $977 to $5,012
$100$500$2K$10Kfacility $1,622professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$8,128.31
Typical High
$8,128.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,479.11
Typical High
$5,011.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,479.11
Typical High
$1,584.89
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,621.81
Typical High
$1,995.26
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,621.81
Typical High
$1,995.26
Providence
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,380.38
Typical High
$1,862.09
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,122.02
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$19,498.45
United
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,621.81
Typical High
$2,344.23

Where Montana sits

The same service costs 6.5 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.

Montana· 21st of 51

$1,622

CA $6,918WV $1,072

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.