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.
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CPT 55040: Removal of Hydrocele
90 hospitals in 31 markets. National Medicare rate $3,658, surgery center $1,744.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 1 | — | — | — | $5,886–$5,886 |
| Austin TX | 2 | — | — | — | $2,985–$7,019 |
| Boston MA | 7 | $5,264 | $5,792 | $6,786 | $4,637–$7,064 |
| California (statewide) | 1 | — | — | — | $11,855–$11,855 |
| Chicago IL | 5 | $5,156 | $5,991 | $6,180 | $4,035–$9,320 |
| Cleveland OH | 5 | $5,512 | $5,520 | $6,514 | $3,650–$8,010 |
| Dallas-Fort Worth TX | 4 | — | — | — | $6,497–$13,305 |
| Denver CO | 7 | $5,112 | $5,402 | $5,632 | $4,832–$6,866 |
| Detroit MI | 6 | $3,877 | $4,015 | $4,015 | $3,254–$7,166 |
| Georgia (statewide) | 1 | — | — | — | $5,843–$5,843 |
| Houston TX | 1 | — | — | — | $4,093–$4,093 |
| Kansas (statewide) | 1 | — | — | — | $6,290–$6,290 |
| Las Vegas NV | 2 | — | — | — | $2,531–$3,779 |
| Los Angeles CA | 2 | — | — | — | $10,042–$20,636 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $6,040–$6,040 |
| Minneapolis-St. Paul MN | 1 | — | — | — | $3,660–$3,660 |
| Nashville TN | 4 | — | — | — | $1,869–$3,958 |
| New York City | 2 | — | — | — | $7,454–$10,024 |
| Ohio (statewide) | 1 | — | — | — | $7,862–$7,862 |
| Philadelphia PA | 5 | $4,642 | $7,409 | $9,172 | $4,420–$11,208 |
| Phoenix AZ | 3 | — | — | — | $3,648–$4,231 |
| Pittsburgh PA | 1 | — | — | — | $5,031–$5,031 |
| Portland OR | 6 | $12,268 | $12,268 | $15,962 | $12,268–$17,193 |
| Richmond VA | 2 | — | — | — | $6,559–$6,559 |
| San Antonio TX | 1 | — | — | — | $5,974–$5,974 |
| San Francisco Bay Area CA | 3 | — | — | — | $20,650–$27,573 |
| Seattle-Tacoma WA | 6 | $10,738 | $11,620 | $15,390 | $9,646–$16,432 |
| St. Louis MO | 2 | — | — | — | $2,022–$2,604 |
| Tampa FL | 2 | — | — | — | $4,459–$7,456 |
| Washington DC | 4 | — | — | — | $3,400–$5,955 |
| Wisconsin (statewide) | 1 | — | — | — | $5,978–$5,978 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Ascension Saint Thomas Rutherford | Nashville TN | $1,869 | 0.5× | 1 | 2026-01-01 |
| Mercy Hospital South | St. Louis MO | $2,022 | 0.6× | 1 | 2026-06-10 |
| Henderson Hospital | Las Vegas NV | $2,531 | 0.7× | 4 | 2026-09-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $2,582 | 0.8× | 2 | 2026-01-01 |
| Mercy Hospital St Louis | St. Louis MO | $2,604 | 0.7× | 1 | 2026-06-04 |
| Ascension Seton Medical Center Austin | Austin TX | $2,985 | 0.8× | 1 | 2026-01-01 |
| Trinity Health Oakland Hospital | Detroit MI | $3,254 | 0.9× | 16 | 2026-03-31 |
| George Washington Univ Hospital | Washington DC | $3,400 | 0.8× | 3 | 2026-09-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $3,603 | 1.1× | 5 | 2026-09-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $3,648 | 0.9× | 4 | 2026-04-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $3,650 | 1.1× | 4 | 2026-07-14 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $3,660 | 1.0× | 4 | 2026-03-31 |
| University Medical Center of Southern Nevada | Las Vegas NV | $3,779 | 1.0× | 7 | 2026-07-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $3,831 | 1.1× | 1 | 2026-01-01 |
| Vanderbilt University Medical Center | Nashville TN | $3,958 | 1.1× | 6 | 2025-10-01 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $4,015 | 1.1× | 1 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $4,015 | 1.1× | 1 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $4,015 | 1.1× | 1 | 2026-05-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $4,035 | 1.1× | 3 | 2026-04-01 |
| Houston Methodist Hospital | Houston TX | $4,093 | 1.1× | 6 | 2026-04-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $4,231 | 1.1× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $4,231 | 1.1× | 5 | 2026-04-01 |
| Riddle Memorial Hospital | Philadelphia PA | $4,420 | 1.2× | 2 | 2026-04-01 |
| Tampa General Hospital | Tampa FL | $4,459 | 1.2× | 3 | 2026-04-01 |
| New England Baptist Hospital | Boston MA | $4,637 | 1.1× | 4 | 2026-04-01 |
| Bryn Mawr Hospital | Philadelphia PA | $4,642 | 1.3× | 2 | 2026-04-01 |
| Adventhealth Porter | Denver CO | $4,832 | 1.3× | 2 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $4,832 | 1.3× | 2 | 2026-04-01 |
| Beverly Hospital Corporation | Boston MA | $4,877 | 1.1× | 4 | 2026-04-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $5,031 | 1.4× | 1 | 2026-03-06 |
| Endeavor Health Edward Hospital | Chicago IL | $5,156 | 1.3× | 2 | 2026-04-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $5,392 | 1.4× | 4 | 2026-09-01 |
| HCA HealthONE Swedish | Denver CO | $5,402 | 1.4× | 4 | 2026-09-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $5,512 | 1.6× | 2 | 2026-06-15 |
| Medina Hospital | Cleveland OH | $5,520 | 1.6× | 3 | 2026-06-15 |
| HCA HealthONE Sky Ridge | Denver CO | $5,622 | 1.5× | 4 | 2026-09-01 |
| Hca Healthone Rose | Denver CO | $5,642 | 1.5× | 4 | 2026-09-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $5,652 | 1.3× | 1 | 2026-04-01 |
| Reston Hospital Center | Washington DC | $5,676 | 1.5× | 4 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $5,688 | 1.5× | 4 | 2026-09-01 |
| Anna Jaques Hospital | Boston MA | $5,792 | 1.4× | 3 | 2026-04-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $5,843 | 1.9× | 3 | 2026-04-01 |
| Emory University Hospital | Atlanta GA | $5,886 | 1.6× | 6 | 2026-04-01 |
| Inova Alexandria Hospital | Washington DC | $5,955 | 1.6× | 5 | 2026-04-01 |
| Methodist Hospital | San Antonio TX | $5,974 | 1.7× | 5 | 2026-09-01 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $5,978 | 1.7× | 3 | 2026-01-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $5,991 | 1.6× | 2 | 2026-04-01 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $6,040 | 1.6× | 1 | 2026-06-15 |
| Endeavor Health Evanston Hospital | Chicago IL | $6,180 | 1.6× | 3 | 2026-04-01 |
| Menorah Medical Center | Kansas (statewide) | $6,290 | 1.9× | 5 | 2026-09-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $6,497 | 1.8× | 3 | 2026-06-29 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $6,508 | 1.5× | 1 | 2026-04-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $6,514 | 1.9× | 2 | 2026-06-16 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $6,559 | 1.9× | 4 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $6,559 | 1.9× | 4 | 2026-09-01 |
| UCHealth University of Colorado Hospital | Denver CO | $6,866 | 1.8× | 3 | 2025-11-01 |
| St David's Medical Center | Austin TX | $7,019 | 1.9× | 5 | 2026-09-01 |
| Winchester Hospital | Boston MA | $7,063 | 1.6× | 2 | 2026-04-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $7,064 | 1.6× | 2 | 2026-04-01 |
| Harper University Hospital | Detroit MI | $7,166 | 2.0× | 1 | 2026-09-02 |
| Jefferson Stratford Hospital | Philadelphia PA | $7,409 | 1.8× | 3 | 2026-09-15 |
| Montefiore Medical Center | New York City | $7,454 | 1.7× | 8 | 2026-04-01 |
| Morton Plant Hospital | Tampa FL | $7,456 | 2.0× | 2 | 2026-01-01 |
| Bethesda North | Ohio (statewide) | $7,862 | 2.3× | 4 | 2026-04-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $8,010 | 2.4× | 2 | 2026-06-15 |
| Medical City Plano | Dallas-Fort Worth TX | $8,375 | 2.3× | 5 | 2026-09-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $8,955 | 2.5× | 5 | 2026-09-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $9,172 | 2.5× | 3 | 2026-09-15 |
| University of Chicago Medical Center | Chicago IL | $9,320 | 2.4× | 2 | 2026-04-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $9,646 | 2.3× | 5 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $10,024 | 2.2× | 7 | 2026-01-01 |
| Keck Hospital Of Usc | Los Angeles CA | $10,042 | 2.2× | 5 | 2026-04-01 |
| St Clare Hospital | Seattle-Tacoma WA | $10,690 | 2.6× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $10,880 | 2.6× | 6 | 2026-02-28 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $11,208 | 2.8× | 1 | 2026-03-24 |
| Los Robles Hospital & Medical Center | California (statewide) | $11,855 | 2.6× | 5 | 2026-09-01 |
| Legacy Emanuel Medical Center | Portland OR | $12,268 | 3.1× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $12,268 | 3.1× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $12,268 | 3.1× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $12,268 | 3.1× | 5 | 2026-04-01 |
| Swedish Medical Center | Seattle-Tacoma WA | $12,361 | 3.0× | 5 | 2026-04-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $13,305 | 3.7× | 2 | 2026-04-21 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $16,399 | 3.9× | 5 | 2026-08-27 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $16,432 | 3.9× | 4 | 2026-08-27 |
| Providence St Vincent Medical Center | Portland OR | $17,193 | 4.3× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $17,193 | 4.3× | 3 | 2026-04-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $20,636 | 4.5× | 3 | 2025-11-26 |
| John Muir Medical Center - Concord Campus | San Francisco Bay Area CA | $20,650 | 4.1× | 6 | 2026-03-23 |
| John Muir Medical Center - Walnut Creek Campus | San Francisco Bay Area CA | $21,710 | 4.3× | 6 | 2026-03-23 |
| Stanford Health Care | San Francisco Bay Area CA | $27,573 | 5.2× | 4 | 2026-04-01 |
Questions
How much do commercial insurers pay hospitals for hydrocele repair?
Across 90 hospitals in 31 metro areas that post a usable dollar rate, the median commercial rate for CPT 55040, hospital outpatient is $5,976, 1.6× the same hospital's local Medicare base rate. The middle half of hospitals runs $4,430 to $9,118. 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: Ascension Saint Thomas Rutherford ($1,869), Mercy Hospital South ($2,022), Henderson Hospital ($2,531). Highest: Stanford Health Care ($27,573), John Muir Medical Center - Walnut Creek Campus ($21,710), John Muir Medical Center - Concord Campus ($20,650). Coverage is limited to the markets listed on this page.