CPT 54340 Surgery - Male Genital

Rpr hypspad comp simple Cost

Body System: Reproductive

Medicare Facility Rate
$521
CMS PFS CY2026
Medicare Non-Facility Rate
$521
Office/clinic setting
Hospital Outpatient
$3
OPPS rate
Surgery Center (ASC)
$1
ASC rate

Relative Value Units (RVUs)

Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)

9.47
Work RVU
4.90
Facility PE RVU
1.22
Malpractice RVU
15.59
Total RVU

Frequently Asked Questions

How much does Rpr hypspad comp simple cost?

The Medicare facility rate is $521. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $3. Ambulatory surgery center rate: $1.

How much does Rpr hypspad comp simple cost without insurance?

Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $521.

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