Price AtlasInteractive atlas · All states · techysurgeon.comPenile implant: what insurers pay
Inflatable penile prosthesis. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
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CPT 54405: Insert Multi-Comp Penis Pros
81 hospitals in 31 markets. National Medicare rate $21,175, surgery center $18,019.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 1 | — | — | — | $11,326–$11,326 |
| Austin TX | 2 | — | — | — | $16,871–$40,502 |
| Boston MA | 7 | $26,634 | $31,297 | $34,462 | $20,133–$39,116 |
| California (statewide) | 1 | — | — | — | $58,483–$58,483 |
| Chicago IL | 5 | $35,781 | $35,781 | $41,898 | $19,940–$45,836 |
| Cleveland OH | 4 | — | — | — | $18,118–$48,074 |
| Dallas-Fort Worth TX | 4 | — | — | — | $29,171–$55,578 |
| Denver CO | 7 | $24,812 | $25,628 | $39,052 | $23,835–$48,921 |
| Detroit MI | 5 | $17,793 | $17,793 | $17,793 | $11,081–$22,597 |
| Georgia (statewide) | 1 | — | — | — | $12,382–$12,382 |
| Houston TX | 1 | — | — | — | $24,600–$24,600 |
| Indianapolis IN | 1 | — | — | — | $17,154–$17,154 |
| Kansas (statewide) | 1 | — | — | — | $33,800–$33,800 |
| Las Vegas NV | 2 | — | — | — | $11,067–$33,232 |
| Los Angeles CA | 2 | — | — | — | $22,055–$55,846 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $30,473–$30,473 |
| Nashville TN | 2 | — | — | — | $22,193–$24,614 |
| New York (statewide) | 1 | — | — | — | $51,491–$51,491 |
| New York City | 2 | — | — | — | $23,147–$29,589 |
| Ohio (statewide) | 1 | — | — | — | $30,297–$30,297 |
| Pennsylvania (statewide) | 1 | — | — | — | $43,356–$43,356 |
| Philadelphia PA | 3 | — | — | — | $11,322–$26,842 |
| Phoenix AZ | 3 | — | — | — | $22,180–$22,180 |
| Portland OR | 6 | $35,982 | $43,830 | $43,830 | $33,366–$43,830 |
| Richmond VA | 2 | — | — | — | $12,930–$15,207 |
| San Antonio TX | 1 | — | — | — | $35,890–$35,890 |
| San Francisco Bay Area CA | 2 | — | — | — | $27,479–$32,856 |
| Seattle-Tacoma WA | 6 | $67,502 | $70,642 | $85,401 | $58,103–$91,590 |
| Tampa FL | 2 | — | — | — | $21,391–$24,962 |
| Washington DC | 3 | — | — | — | $15,488–$49,751 |
| Wisconsin (statewide) | 1 | — | — | — | $13,924–$13,924 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Henderson Hospital | Las Vegas NV | $11,067 | 0.5× | 1 | 2026-09-01 |
| Harper University Hospital | Detroit MI | $11,081 | 0.5× | 1 | 2026-09-02 |
| Thomas Jefferson University Hospital | Philadelphia PA | $11,322 | 0.5× | 1 | 2026-09-15 |
| Emory University Hospital | Atlanta GA | $11,326 | 0.5× | 2 | 2026-04-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $12,382 | 0.7× | 2 | 2026-04-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $12,930 | 0.6× | 2 | 2026-09-01 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $13,924 | 0.7× | 2 | 2026-01-01 |
| Henrico Doctors' Hospital | Richmond VA | $15,207 | 0.8× | 2 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $15,488 | 0.7× | 2 | 2026-09-01 |
| Reston Hospital Center | Washington DC | $15,997 | 0.8× | 2 | 2026-09-01 |
| Ascension Seton Medical Center Austin | Austin TX | $16,871 | 0.8× | 1 | 2026-01-01 |
| Ascension St Vincent Carmel | Indianapolis IN | $17,154 | 0.8× | 1 | 2026-01-01 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $17,793 | 0.9× | 1 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $17,793 | 0.9× | 1 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $17,793 | 0.9× | 1 | 2026-05-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $18,118 | 0.9× | 1 | 2026-07-14 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $19,940 | 0.9× | 2 | 2026-04-01 |
| Winchester Hospital | Boston MA | $20,133 | 0.8× | 2 | 2026-04-01 |
| Morton Plant Hospital | Tampa FL | $21,391 | 1.0× | 2 | 2026-01-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $22,055 | 0.8× | 3 | 2025-11-26 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $22,180 | 1.0× | 1 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $22,180 | 1.0× | 1 | 2026-04-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $22,180 | 1.0× | 1 | 2026-04-01 |
| Vanderbilt University Medical Center | Nashville TN | $22,193 | 1.1× | 4 | 2025-10-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $22,597 | 1.1× | 1 | 2026-01-01 |
| Montefiore Medical Center | New York City | $23,147 | 0.9× | 4 | 2026-04-01 |
| HCA HealthONE Swedish | Denver CO | $23,835 | 1.1× | 2 | 2026-09-01 |
| Houston Methodist Hospital | Houston TX | $24,600 | 1.2× | 2 | 2026-04-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $24,614 | 1.2× | 1 | 2026-09-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $24,672 | 1.1× | 2 | 2026-09-01 |
| HCA HealthONE Sky Ridge | Denver CO | $24,951 | 1.1× | 2 | 2026-09-01 |
| Tampa General Hospital | Tampa FL | $24,962 | 1.1× | 1 | 2026-04-01 |
| Hca Healthone Rose | Denver CO | $25,628 | 1.2× | 2 | 2026-09-01 |
| New England Baptist Hospital | Boston MA | $26,264 | 1.1× | 2 | 2026-04-01 |
| Riddle Memorial Hospital | Philadelphia PA | $26,616 | 1.3× | 1 | 2026-04-01 |
| Bryn Mawr Hospital | Philadelphia PA | $26,842 | 1.3× | 1 | 2026-04-01 |
| Beverly Hospital Corporation | Boston MA | $27,004 | 1.1× | 1 | 2026-04-01 |
| John Muir Medical Center - Concord Campus | San Francisco Bay Area CA | $27,479 | 0.9× | 5 | 2026-03-23 |
| Medical City Mckinney | Dallas-Fort Worth TX | $29,171 | 1.4× | 4 | 2026-09-01 |
| UCHealth University of Colorado Hospital | Denver CO | $29,184 | 1.3× | 2 | 2025-11-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $29,589 | 1.1× | 3 | 2026-01-01 |
| Bethesda North | Ohio (statewide) | $30,297 | 1.5× | 3 | 2026-04-01 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $30,473 | 1.4× | 1 | 2026-06-15 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $31,297 | 1.3× | 1 | 2026-04-01 |
| Stanford Health Care | San Francisco Bay Area CA | $32,856 | 1.1× | 4 | 2026-04-01 |
| Anna Jaques Hospital | Boston MA | $32,886 | 1.3× | 2 | 2026-04-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $33,232 | 1.5× | 4 | 2026-07-01 |
| Providence St Vincent Medical Center | Portland OR | $33,366 | 1.4× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $33,366 | 1.4× | 3 | 2026-04-01 |
| Menorah Medical Center | Kansas (statewide) | $33,800 | 1.7× | 2 | 2026-09-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $35,781 | 1.6× | 1 | 2026-04-01 |
| Endeavor Health Edward Hospital | Chicago IL | $35,781 | 1.6× | 1 | 2026-04-01 |
| Methodist Hospital | San Antonio TX | $35,890 | 1.7× | 2 | 2026-09-01 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $36,037 | 1.4× | 1 | 2026-04-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $36,104 | 1.7× | 2 | 2026-06-29 |
| Medina Hospital | Cleveland OH | $37,161 | 1.9× | 1 | 2026-06-15 |
| Beth Israel Deaconess Medical Center | Boston MA | $39,116 | 1.6× | 1 | 2026-04-01 |
| St David's Medical Center | Austin TX | $40,502 | 1.9× | 2 | 2026-09-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $41,898 | 1.9× | 1 | 2026-04-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $42,450 | 2.2× | 1 | 2026-06-15 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $43,356 | 2.1× | 7 | 2026-07-01 |
| Legacy Emanuel Medical Center | Portland OR | $43,830 | 1.9× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $43,830 | 1.9× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $43,830 | 1.9× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $43,830 | 1.9× | 5 | 2026-04-01 |
| Medical City Plano | Dallas-Fort Worth TX | $44,814 | 2.1× | 3 | 2026-09-01 |
| University of Chicago Medical Center | Chicago IL | $45,836 | 2.1× | 2 | 2026-04-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $48,074 | 2.5× | 1 | 2026-06-15 |
| Adventhealth Porter | Denver CO | $48,921 | 2.2× | 2 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $48,921 | 2.2× | 2 | 2026-04-01 |
| Inova Alexandria Hospital | Washington DC | $49,751 | 2.3× | 2 | 2026-04-01 |
| Stony Brook University Hospital | New York (statewide) | $51,491 | 2.0× | 1 | 2026-06-10 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $55,578 | 2.7× | 2 | 2026-04-21 |
| Keck Hospital Of Usc | Los Angeles CA | $55,846 | 2.1× | 2 | 2026-04-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $58,103 | 2.4× | 4 | 2026-04-01 |
| Los Robles Hospital & Medical Center | California (statewide) | $58,483 | 2.2× | 3 | 2026-09-01 |
| St Clare Hospital | Seattle-Tacoma WA | $67,502 | 2.8× | 5 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $67,502 | 2.8× | 5 | 2026-02-28 |
| Swedish Medical Center | Seattle-Tacoma WA | $73,782 | 3.1× | 4 | 2026-04-01 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $89,274 | 3.7× | 5 | 2026-08-27 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $91,590 | 3.8× | 4 | 2026-08-27 |
Questions
How much do commercial insurers pay hospitals for penile implant?
Across 81 hospitals in 31 metro areas that post a usable dollar rate, the median commercial rate for CPT 54405, hospital outpatient is $29,589, 1.3× the same hospital's local Medicare base rate. The middle half of hospitals runs $22,180 to $43,356. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for penile implant?
Medicare's national hospital outpatient rate for CPT 54405 is $21,175 and its surgery-center rate is $18,019, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for penile implant?
Lowest medians: Henderson Hospital ($11,067), Harper University Hospital ($11,081), Thomas Jefferson University Hospital ($11,322). Highest: Multicare Good Samaritan Hospital ($91,590), Tacoma General Allenmore Hospital ($89,274), Swedish Medical Center ($73,782). Coverage is limited to the markets listed on this page.