Price AtlasInteractive atlas · All states · techysurgeon.comHydrocele repair: what insurers pay
Removing a fluid sac around the testicle. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
Open the interactive explorerAll operations
CPT 55040: Hydrocele Repair
1132 hospitals in 80 markets. National Medicare rate $3,658, surgery center $1,744.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 11 | $2,966 | $3,558 | $4,084 | $2,675–$6,293 |
| Alaska (statewide) | 3 | — | — | — | $2,615–$15,112 |
| Arizona (statewide) | 11 | $3,781 | $4,179 | $5,581 | $2,371–$14,869 |
| Arkansas (statewide) | 12 | $3,097 | $3,365 | $3,702 | $1,875–$4,878 |
| Atlanta GA | 6 | $5,828 | $5,886 | $5,886 | $5,809–$5,886 |
| Austin TX | 13 | $2,985 | $5,377 | $5,849 | $2,985–$5,849 |
| Boston MA | 11 | $5,120 | $6,168 | $6,572 | $3,268–$7,405 |
| California (statewide) | 60 | $5,219 | $10,413 | $13,355 | $2,892–$16,794 |
| Charlotte NC | 5 | $4,196 | $4,196 | $4,196 | $4,138–$4,196 |
| Chicago IL | 8 | $5,782 | $6,227 | $9,545 | $4,035–$10,219 |
| Cleveland OH | 11 | $3,688 | $4,385 | $5,554 | $2,453–$6,249 |
| Colorado (statewide) | 15 | $5,194 | $6,381 | $7,602 | $2,155–$12,400 |
| Columbus OH | 1 | — | — | — | $12,878–$12,878 |
| Connecticut (statewide) | 2 | — | — | — | $5,370–$14,918 |
| Dallas-Fort Worth TX | 12 | $6,295 | $7,598 | $8,825 | $6,257–$15,236 |
| Denver CO | 15 | $5,415 | $6,381 | $6,879 | $5,374–$7,350 |
| Detroit MI | 16 | $3,815 | $4,015 | $5,060 | $2,080–$7,166 |
| Florida (statewide) | 57 | $7,192 | $7,981 | $8,484 | $2,078–$15,595 |
| Georgia (statewide) | 29 | $3,931 | $5,809 | $6,459 | $2,515–$17,296 |
| Hawaii (statewide) | 4 | — | — | — | $4,602–$8,080 |
| Houston TX | 19 | $4,616 | $5,704 | $6,077 | $4,144–$6,834 |
| Idaho (statewide) | 14 | $3,412 | $4,446 | $8,222 | $2,692–$13,509 |
| Illinois (statewide) | 27 | $4,334 | $6,070 | $8,646 | $2,880–$10,484 |
| Indiana (statewide) | 33 | $4,626 | $8,154 | $13,274 | $1,905–$20,580 |
| Indianapolis IN | 1 | — | — | — | $25,148–$25,148 |
| Iowa (statewide) | 22 | $3,658 | $5,208 | $6,772 | $2,479–$10,865 |
| Kansas (statewide) | 19 | $2,413 | $3,077 | $5,849 | $1,775–$15,112 |
| Kentucky (statewide) | 15 | $3,610 | $4,299 | $4,715 | $1,845–$6,462 |
| Las Vegas NV | 2 | — | — | — | $2,586–$3,010 |
| Los Angeles CA | 17 | $6,383 | $8,520 | $9,326 | $5,611–$20,636 |
| Louisiana (statewide) | 23 | $3,527 | $4,559 | $5,450 | $3,109–$10,534 |
| Maine (statewide) | 17 | $14,460 | $16,236 | $16,788 | $3,792–$21,107 |
| Maryland (statewide) | 1 | — | — | — | $2,755–$2,755 |
| Massachusetts (statewide) | 5 | $3,370 | $4,262 | $4,806 | $2,863–$5,189 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $6,314–$6,314 |
| Michigan (statewide) | 30 | $3,562 | $3,750 | $4,833 | $1,976–$7,020 |
| Minneapolis-St. Paul MN | 8 | $5,616 | $5,642 | $6,050 | $3,660–$6,892 |
| Minnesota (statewide) | 12 | $5,948 | $9,322 | $10,838 | $4,592–$12,791 |
| Mississippi (statewide) | 18 | $4,822 | $5,439 | $5,901 | $3,389–$9,764 |
| Missouri (statewide) | 19 | $4,005 | $5,268 | $6,384 | $2,024–$9,560 |
| Montana (statewide) | 5 | $7,256 | $7,411 | $10,242 | $6,181–$11,557 |
| Nashville TN | 8 | $3,298 | $3,570 | $4,418 | $1,869–$7,670 |
| Nebraska (statewide) | 11 | $7,582 | $8,645 | $8,772 | $2,586–$18,020 |
| Nevada (statewide) | 6 | $2,545 | $4,700 | $7,108 | $2,531–$8,363 |
| New Hampshire (statewide) | 6 | $8,809 | $10,656 | $11,802 | $5,441–$16,033 |
| New Jersey (statewide) | 22 | $4,385 | $7,327 | $8,026 | $3,906–$12,670 |
| New Mexico (statewide) | 8 | $4,512 | $6,944 | $10,654 | $2,586–$14,868 |
| New York (statewide) | 31 | $4,312 | $5,633 | $7,532 | $2,531–$12,324 |
| New York City | 7 | $4,176 | $4,176 | $7,766 | $4,176–$11,461 |
| North Carolina (statewide) | 6 | $5,597 | $7,812 | $9,254 | $3,860–$12,278 |
| North Dakota (statewide) | 5 | $6,105 | $6,109 | $7,705 | $5,926–$7,905 |
| Ohio (statewide) | 39 | $4,958 | $7,862 | $10,284 | $2,359–$13,762 |
| Oklahoma (statewide) | 12 | $3,658 | $7,008 | $8,097 | $1,861–$12,670 |
| Oregon (statewide) | 8 | $9,037 | $10,740 | $13,833 | $8,041–$16,499 |
| Pennsylvania (statewide) | 37 | $3,526 | $5,887 | $8,195 | $1,818–$15,833 |
| Philadelphia PA | 11 | $4,617 | $5,015 | $6,537 | $4,096–$11,208 |
| Phoenix AZ | 8 | $3,470 | $3,940 | $4,231 | $2,936–$4,231 |
| Pittsburgh PA | 10 | $3,795 | $6,206 | $7,330 | $2,829–$8,882 |
| Portland OR | 9 | $12,268 | $12,268 | $14,854 | $11,270–$14,854 |
| Rhode Island (statewide) | 4 | — | — | — | $4,807–$9,813 |
| Richmond VA | 3 | — | — | — | $6,559–$7,051 |
| Rio Grande Valley TX | 6 | $4,683 | $4,803 | $6,799 | $4,653–$7,455 |
| Salt Lake City UT | 9 | $3,822 | $3,952 | $3,952 | $3,150–$4,083 |
| San Antonio TX | 3 | — | — | — | $4,400–$5,849 |
| San Diego CA | 7 | $7,994 | $8,059 | $8,059 | $6,585–$8,492 |
| San Francisco Bay Area CA | 6 | $7,714 | $8,956 | $9,252 | $7,000–$27,573 |
| Seattle-Tacoma WA | 16 | $9,766 | $10,164 | $12,223 | $9,230–$14,662 |
| South Carolina (statewide) | 19 | $9,534 | $12,111 | $14,808 | $5,430–$16,104 |
| South Dakota (statewide) | 3 | — | — | — | $3,873–$18,647 |
| St. Louis MO | 3 | — | — | — | $2,975–$3,234 |
| Tampa FL | 6 | $7,456 | $7,456 | $7,456 | $6,490–$10,426 |
| Tennessee (statewide) | 24 | $3,389 | $3,628 | $4,120 | $2,520–$7,199 |
| Texas (statewide) | 81 | $4,042 | $5,679 | $7,189 | $2,104–$20,580 |
| Utah (statewide) | 8 | $3,332 | $3,822 | $4,366 | $3,150–$13,495 |
| Vermont (statewide) | 1 | — | — | — | $6,850–$6,850 |
| Virginia (statewide) | 20 | $8,949 | $10,683 | $11,699 | $6,031–$14,902 |
| Washington (statewide) | 13 | $8,700 | $10,298 | $11,332 | $3,564–$19,470 |
| Washington DC | 9 | $5,955 | $5,955 | $5,955 | $4,169–$6,372 |
| West Virginia (statewide) | 3 | — | — | — | $3,917–$23,836 |
| Wisconsin (statewide) | 34 | $7,014 | $9,760 | $9,760 | $4,959–$13,546 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Cheyenne County Hospital | Kansas (statewide) | $1,775 | 0.5× | 4 | 2026-08-04 |
| Upmc Cole | Pennsylvania (statewide) | $1,818 | 0.5× | 1 | 2026-03-06 |
| Jackson Purchase Medical Center | Kentucky (statewide) | $1,845 | 0.6× | 1 | 2026-07-10 |
| St Mary'S Regional Medical Center | Oklahoma (statewide) | $1,861 | 0.5× | 1 | 2026-09-01 |
| Ascension Saint Thomas Rutherford | Nashville TN | $1,869 | 0.5× | 1 | 2026-01-01 |
| Mercy Hospital Northwest Arkansas | Arkansas (statewide) | $1,875 | 0.6× | 6 | 2026-06-08 |
| Community Hospital Of Bremen Inc | Indiana (statewide) | $1,905 | 0.5× | 2 | 2026-01-01 |
| Gove County Medical Center | Kansas (statewide) | $1,926 | 0.6× | 1 | 2026-08-14 |
| Corewell Health Lakeland Hospitals St Joseph Hospi | Michigan (statewide) | $1,976 | 0.6× | 1 | 2026-05-01 |
| Oaklawn Hospital | Michigan (statewide) | $2,002 | 0.6× | 2 | 2026-03-27 |
| Mercy Hospital Joplin | Missouri (statewide) | $2,024 | 0.6× | 16 | 2026-06-09 |
| Mercy Hospital Springfield | Missouri (statewide) | $2,024 | 0.6× | 18 | 2026-06-04 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $18,079 | 4.3× | 5 | 2026-08-27 |
| Parkview Lagrange Hospital | Indiana (statewide) | $18,563 | 4.9× | 1 | 2026-09-01 |
| Same Day Surgery Center Llc | South Dakota (statewide) | $18,647 | 5.1× | 2 | 2026-09-10 |
| Providence Centralia Hospital | Washington (statewide) | $19,470 | 4.9× | 4 | 2026-04-01 |
| Parkview Wabash Hospital, Inc | Indiana (statewide) | $20,368 | 5.4× | 1 | 2026-09-01 |
| Parkview Regional Medical Center | Indiana (statewide) | $20,580 | 5.4× | 1 | 2026-09-01 |
| Parkview Hospital | Texas (statewide) | $20,580 | 5.7× | 1 | 2026-09-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $20,636 | 4.5× | 3 | 2025-11-26 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $21,107 | 6.0× | 1 | 2025-09-09 |
| Logan Regional Medical Center | West Virginia (statewide) | $23,836 | 6.9× | 1 | 2026-04-01 |
| Franciscan Health Indianapolis | Indianapolis IN | $25,148 | 6.6× | 3 | 2026-01-01 |
| Stanford Health Care | San Francisco Bay Area CA | $27,573 | 5.2× | 4 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for hydrocele repair?
Across 1132 hospitals in 80 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 55040, hospital outpatient is $6,196, 1.7× the same hospital's local Medicare base rate. The middle half of hospitals runs $4,176 to $9,038. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for hydrocele repair?
Medicare's national hospital outpatient rate for CPT 55040 is $3,658 and its surgery-center rate is $1,744, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for hydrocele repair?
Lowest medians: Cheyenne County Hospital ($1,775), Upmc Cole ($1,818), Jackson Purchase Medical Center ($1,845). Highest: Stanford Health Care ($27,573), Franciscan Health Indianapolis ($25,148), Logan Regional Medical Center ($23,836). Coverage: every hospital whose price file we could read.