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Repair Of Hypospadias Complication

Virginia 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?

$1,259

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $1,259 for this service. The price depends on where it is billed: about $1,096 from a physician practice, and about $4,365 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 8 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$1,096$1,047 to $1,514
FacilityA hospital or hospital-owned outpatient department$4,365$1,318 to $7,762

How much rates vary

Facilitymedian $4,365 · 10th to 90th $1,072 to $10,000Professionalmedian $1,096 · 10th to 90th $912 to $3,388
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $4,365professional $1,096

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
$1,071.52
Median
$5,011.87
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,071.52
Typical High
$4,365.16
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$7,413.10
Typical High
$9,332.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,174.90
Typical High
$1,698.24
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,412.54
Typical High
$12,022.64
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,258.93
Typical High
$2,187.76
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,000.00
Typical High
$2,570.40
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,621.81
Typical High
$2,187.76
Medcost
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,380.38
Typical High
$1,995.26
Sentara
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,288.25
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,288.25
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$8,912.51
Typical High
$17,782.79
United
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,202.26
Typical High
$1,949.84

Where Virginia 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.

Virginia $1,259 · 43rd 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.