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Repair Of Hypospadias Complication

New Jersey 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?

$1,479

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $1,479 for this service. The price depends on where it is billed: about $1,072 from a physician practice, and about $7,079 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$1,072$933 to $1,698
FacilityA hospital or hospital-owned outpatient department$7,079$5,754 to $10,000

How much rates vary

Facilitymedian $7,079 · 10th to 90th $4,169 to $11,749Professionalmedian $1,072 · 10th to 90th $832 to $5,888
$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $7,079professional $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
$4,168.69
Median
$7,079.46
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,071.52
Typical High
$8,511.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,288.25
Typical High
$2,511.89
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
$20,417.38
Median
$29,512.09
Typical High
$46,773.51
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,071.52
Typical High
$2,454.71
United
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$7,413.10
Typical High
$15,135.61
United
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,000.00
Typical High
$1,905.46

Where New Jersey sits

The same service costs 6.5 times more in California than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New Jersey $1,479 · 28th of 51
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.