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See a sample rate comparisonCPT 54328 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.
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
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Male Genital System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None AS - PA/NP/CNS assistant at surgery GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 54328 |
| Medicaid Fee Schedule | View Medicaid rates for 54328 |
National average reimbursement for CPT 54328 by major payers:
$1,193.23
$1,257.27
$1,339.71
$1,533.50
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CPT 54328
5 of 25 sample ratesHigher to lower in this preview
Beltway Surgery Centers, LLC, Meridian South Surgery Center
$11,291.00Published ratePark Cities Surgery Center, LLC, Park Cities Surgery Center
Park Cities Surgery Center LLC
$4,234.00Published ratePhysicians Clinic Inc
$2,310.00Published rateInland Outpatient Surgery Center, Inc.
$1,320.00Published ratePremier Endoscopy Center,LLC
$383.00Published rate
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See a sample payer proposalCPT 54328 vs. Other Surgical Procedures on the Male Genital System Codes
The CPT 54328 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 54328 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 |
|---|---|---|
| 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 |
| 54332-CPT | High | One Stage Proximal Penile Or P, One Stage Proximal Penile Or Penoscrotal Hypospadias Repair Requiring Extensive Dissection To Correct Chordee And Urethroplasty By Use Of Skin Graft Tube Andor Island Flap |
| 54336-CPT | High | One Stage Perineal Hypospadias, One Stage Perineal Hypospadias Repair Requiring Extensivedissection To Correct Chordee And Urethroplasty By Use Of Skin Graft Tube 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 54328. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 54328 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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