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Repair Of Hypospadias Complication

New York 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?

$2,239

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $2,239 for this service. The price depends on where it is billed: about $1,230 from a physician practice, and about $5,888 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 9 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$1,230$933 to $1,738
FacilityA hospital or hospital-owned outpatient department$5,888$3,162 to $9,120

How much rates vary

Facilitymedian $5,888 · 10th to 90th $1,349 to $12,023Professionalmedian $1,230 · 10th to 90th $832 to $2,951
$100.0$1.0K$10.0Kfacility $5,888professional $1,230

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
$1,230.27
Median
$4,786.30
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,230.27
Typical High
$3,467.37
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$7,762.47
Typical High
$13,489.63
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$977.24
Typical High
$2,454.71
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,995.26
Typical High
$8,912.51
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$5,754.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$1,778.28
Typical High
$4,365.16
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,513.56
Typical High
$3,235.94
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,288.25
Typical High
$1,819.70
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,258.93
Typical High
$1,995.26
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$1,318.26
Typical High
$2,570.40
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$4,897.79
Typical High
$11,748.98
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,258.93
Typical High
$3,090.30
Univera
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,258.93
Typical High
$3,311.31
Univera
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,258.93
Typical High
$2,951.21

Where New York 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 York $2,239 · 10th 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.