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See a sample rate comparisonCPT 54326 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
One Stage Distal Hypospadias R, One Stage Distal Hypospadias Repair (With Or Without Chordeeor Circumcision) With Urethroplasty By Local Skin Flaps And Mobilization Of Urethra
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Male Genital System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 19 - Off Campus Outpatient Hospital |
| Common Modifiers | None UB GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 54326 |
| Medicaid Fee Schedule | View Medicaid rates for 54326 |
National average reimbursement for CPT 54326 by major payers:
$1,163.29
$1,263.92
$1,356.86
$1,540.64
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CPT 54326
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center, Memorial Hermann Surgery Center, The Woodlands
Memorial Hermann Surgery Center
$7,838.00Published rateSeattle Surgery Center LLC
$3,305.00Published rateCheckerspot Surgery Centers, LLC
Checkerspot Surgery Centers LLC
$2,100.00Published rateWichita Falls Endoscopy Center
$1,666.00Published ratePalmetto Endoscopy Center
$614.00Published rate
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See a sample payer proposalCPT 54326 vs. Other Surgical Procedures on the Male Genital System Codes
The CPT 54326 code is part of the Surgery services used for Surgical Procedures on the Male Genital System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 54326 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 54322-CPT | Moderate | One Stage Distal Hypospadias R, One Stage Distal Hypospadias Repair (With Or Without Chordeeor Circumcision) With Simple Meatal Advancement (Eg Magpi V-Flap) |
| 54324-CPT | High | One Stage Distal Hypospadias R, One Stage Distal Hypospadias Repair (With Or Without Chordeeor Circumcision) With Urethroplasty By Local Skin Flaps (Eg Flip-Flap Prepucial Flap) |
| 54326-CPT | High | One Stage Distal Hypospadias R, One Stage Distal Hypospadias Repair (With Or Without Chordeeor Circumcision) With Urethroplasty By Local Skin Flaps And Mobilization Of Urethra |
| 54328-CPT | High | 1-Stage Distal Hypospadias Rep, 1-Stage Distal Hypospadias Repair (With Or Withoutchordee Or Circumcision) With Extensive Dissecti On To Correct Chordee And Urethroplasty With Localskin Flaps Skin Graft Patch Andor Island Flap |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 54326. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 54326 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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