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Epispadias Repair With Urinary Leakage

Hawaii rates for HCPCS 54385

Reconstructive surgery on the penis for epispadias, a birth defect in which the urinary opening lies along the top of the penis instead of at the tip. This version is performed when the child also cannot hold urine, so the repair extends to the outlet of the bladder as well as the penis. It is usually done in early childhood and may be staged.

Rates data updated October 2026.

How much does Epispadias Repair With Urinary Leakage cost?

$1,148

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $1,148 for this service. The price depends on where it is billed: about $1,148 from a physician practice, and about $1,445 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,148$933 to $1,445
FacilityA hospital or hospital-owned outpatient department$1,445$1,259 to $3,020

How much rates vary

Facilitymedian $1,445 · 10th to 90th $1,122 to $4,467Professionalmedian $1,148 · 10th to 90th $30 to $1,738
$50$100$200$500$1K$2K$5Kfacility $1,445professional $1,148

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$2,818.38
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$1,000.00
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,122.02
Median
$1,258.93
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
HMSA
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$1,479.11
Typical High
$1,737.80
HMSA
Setting
Professional
Modifier
51 · Multiple procedures
Typical Low
$660.69
Median
$741.31
Typical High
$776.25
HMSA
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$223.87
Median
$251.19
Typical High
$269.15
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$1,000.00
Typical High
$1,258.93
United
Setting
Facility
Modifier
None
Typical Low
$2,238.72
Median
$3,019.95
Typical High
$3,890.45
United
Setting
Professional
Modifier
None
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,348.96
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$1,096.48
Typical High
$6,025.60

Where Hawaii sits

The same service costs 5.6 times more in Alaska than in Texas. 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.

Hawaii· 36th of 51

$1,148

AK $3,715TX $661

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.