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.
Open the interactive explorerAll operations
CPT 54405: Penile Implant
910 hospitals in 77 markets. National Medicare rate $21,175, surgery center $18,019.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 8 | $22,166 | $23,751 | $27,645 | $10,690–$43,845 |
| Alaska (statewide) | 1 | — | — | — | $21,505–$21,505 |
| Arizona (statewide) | 4 | — | — | — | $21,453–$31,350 |
| Arkansas (statewide) | 6 | $16,737 | $21,170 | $24,120 | $15,120–$27,821 |
| Atlanta GA | 6 | $11,326 | $11,326 | $39,049 | $11,326–$48,764 |
| Austin TX | 13 | $14,108 | $16,871 | $16,871 | $14,108–$39,820 |
| Boston MA | 11 | $25,533 | $29,091 | $31,964 | $18,662–$35,046 |
| California (statewide) | 49 | $27,724 | $59,391 | $76,169 | $17,784–$76,169 |
| Charlotte NC | 5 | $23,930 | $23,930 | $23,930 | $23,604–$23,930 |
| Chicago IL | 8 | $31,821 | $38,840 | $47,717 | $17,496–$53,361 |
| Cleveland OH | 10 | $20,833 | $21,569 | $33,110 | $16,844–$46,080 |
| Colorado (statewide) | 12 | $19,108 | $24,089 | $27,448 | $13,426–$40,897 |
| Connecticut (statewide) | 2 | — | — | — | $30,732–$86,354 |
| Dallas-Fort Worth TX | 11 | $14,448 | $29,461 | $31,127 | $13,108–$47,338 |
| Denver CO | 15 | $27,104 | $29,796 | $37,882 | $20,229–$40,448 |
| Detroit MI | 13 | $17,793 | $17,793 | $21,886 | $11,081–$38,072 |
| Florida (statewide) | 58 | $16,175 | $16,828 | $21,064 | $13,740–$67,706 |
| Georgia (statewide) | 20 | $23,757 | $27,656 | $46,250 | $11,326–$56,615 |
| Hawaii (statewide) | 2 | — | — | — | $25,053–$26,246 |
| Houston TX | 17 | $14,108 | $24,642 | $30,543 | $14,108–$39,559 |
| Idaho (statewide) | 12 | $19,917 | $47,241 | $51,127 | $16,870–$61,118 |
| Illinois (statewide) | 24 | $26,234 | $30,500 | $48,590 | $14,727–$59,800 |
| Indiana (statewide) | 19 | $33,578 | $39,249 | $44,835 | $20,129–$98,123 |
| Indianapolis IN | 2 | — | — | — | $17,154–$17,154 |
| Iowa (statewide) | 13 | $31,874 | $35,375 | $43,567 | $23,816–$54,966 |
| Kansas (statewide) | 7 | $23,384 | $31,763 | $36,052 | $17,046–$56,905 |
| Kentucky (statewide) | 10 | $25,580 | $30,687 | $35,796 | $24,530–$39,552 |
| Las Vegas NV | 2 | — | — | — | $11,067–$40,016 |
| Los Angeles CA | 17 | $26,383 | $31,455 | $35,186 | $22,055–$56,620 |
| Louisiana (statewide) | 22 | $18,272 | $18,540 | $22,900 | $10,436–$32,646 |
| Maine (statewide) | 15 | $82,477 | $94,601 | $95,754 | $48,998–$120,389 |
| Massachusetts (statewide) | 4 | — | — | — | $21,038–$29,160 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $34,027–$34,027 |
| Michigan (statewide) | 24 | $20,610 | $21,744 | $34,414 | $17,793–$45,164 |
| Minneapolis-St. Paul MN | 7 | $24,524 | $24,585 | $38,642 | $24,524–$46,042 |
| Minnesota (statewide) | 11 | $35,528 | $53,665 | $63,560 | $10,908–$74,576 |
| Mississippi (statewide) | 11 | $21,690 | $26,155 | $33,963 | $19,405–$40,126 |
| Missouri (statewide) | 11 | $26,868 | $32,450 | $33,134 | $14,789–$36,231 |
| Montana (statewide) | 4 | — | — | — | $41,524–$62,917 |
| Nashville TN | 6 | $24,614 | $24,614 | $38,684 | $22,065–$43,746 |
| Nebraska (statewide) | 11 | $25,261 | $33,414 | $34,326 | $11,067–$47,022 |
| Nevada (statewide) | 3 | — | — | — | $11,067–$11,067 |
| New Hampshire (statewide) | 5 | $19,032 | $20,308 | $52,952 | $12,671–$68,172 |
| New Jersey (statewide) | 19 | $23,184 | $23,356 | $24,488 | $22,280–$42,352 |
| New Mexico (statewide) | 4 | — | — | — | $21,241–$61,238 |
| New York (statewide) | 26 | $23,819 | $40,442 | $52,632 | $16,435–$68,623 |
| New York City | 8 | $23,819 | $24,454 | $26,706 | $23,819–$78,651 |
| North Carolina (statewide) | 3 | — | — | — | $18,125–$51,335 |
| North Dakota (statewide) | 5 | $33,541 | $34,822 | $35,620 | $21,978–$46,088 |
| Ohio (statewide) | 31 | $22,396 | $30,526 | $42,350 | $15,450–$67,812 |
| Oklahoma (statewide) | 9 | $24,598 | $34,219 | $42,046 | $21,175–$49,215 |
| Oregon (statewide) | 6 | $51,544 | $55,178 | $72,051 | $41,044–$95,196 |
| Pennsylvania (statewide) | 28 | $34,894 | $47,728 | $69,452 | $10,104–$95,340 |
| Philadelphia PA | 8 | $26,616 | $26,842 | $33,892 | $11,322–$53,153 |
| Phoenix AZ | 6 | $22,180 | $22,180 | $22,180 | $22,180–$22,180 |
| Pittsburgh PA | 6 | $37,586 | $41,495 | $43,588 | $19,693–$50,663 |
| Portland OR | 9 | $44,952 | $44,952 | $54,262 | $43,830–$54,262 |
| Rhode Island (statewide) | 4 | — | — | — | $12,139–$41,729 |
| Richmond VA | 3 | — | — | — | $12,930–$15,207 |
| Rio Grande Valley TX | 3 | — | — | — | $25,729–$30,252 |
| Salt Lake City UT | 9 | $22,732 | $24,952 | $24,952 | $18,364–$27,172 |
| San Antonio TX | 3 | — | — | — | $28,823–$33,645 |
| San Diego CA | 2 | — | — | — | $37,720–$45,904 |
| San Francisco Bay Area CA | 5 | $29,267 | $29,989 | $32,856 | $15,358–$42,808 |
| Seattle-Tacoma WA | 16 | $59,201 | $60,734 | $71,266 | $50,753–$82,318 |
| South Carolina (statewide) | 19 | $24,704 | $29,278 | $35,555 | $14,603–$39,623 |
| South Dakota (statewide) | 2 | — | — | — | $25,074–$35,614 |
| St. Louis MO | 2 | — | — | — | $34,575–$46,709 |
| Tampa FL | 6 | $21,391 | $21,391 | $30,129 | $21,391–$65,954 |
| Tennessee (statewide) | 21 | $19,744 | $21,146 | $24,614 | $17,116–$43,424 |
| Texas (statewide) | 67 | $14,892 | $21,820 | $30,868 | $13,108–$98,123 |
| Utah (statewide) | 6 | $19,222 | $22,265 | $22,732 | $18,364–$24,952 |
| Virginia (statewide) | 14 | $19,398 | $51,709 | $54,004 | $13,412–$58,918 |
| Washington (statewide) | 10 | $55,759 | $59,380 | $81,870 | $29,989–$105,411 |
| Washington DC | 9 | $15,997 | $46,138 | $46,138 | $13,632–$46,867 |
| West Virginia (statewide) | 3 | — | — | — | $22,343–$81,492 |
| Wisconsin (statewide) | 26 | $20,842 | $20,928 | $36,968 | $10,787–$49,492 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Conemaugh Memorial Medical Center | Pennsylvania (statewide) | $10,104 | 0.5× | 1 | 2026-04-15 |
| St James Parish Hospital | Louisiana (statewide) | $10,436 | 0.5× | 2 | 2026-04-01 |
| Southeast Health Medical Center | Alabama (statewide) | $10,690 | 0.6× | 1 | 2026-03-10 |
| Marshfield Medical Center | Wisconsin (statewide) | $10,787 | 0.5× | 1 | 2026-02-20 |
| Grand Itasca Clinic And Hospital | Minnesota (statewide) | $10,908 | 0.5× | 1 | 2026-01-28 |
| Henderson Community Hospital | Nebraska (statewide) | $11,067 | 0.5× | 1 | 2026-09-01 |
| Valley Hospital Medical Center | Nevada (statewide) | $11,067 | 0.5× | 1 | 2026-09-01 |
| Spring Valley Hospital Medical Center | Nevada (statewide) | $11,067 | 0.5× | 1 | 2026-09-01 |
| Centennial Hills Hospital Medical Center | Nevada (statewide) | $11,067 | 0.5× | 1 | 2026-09-01 |
| 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 |
| Huron Valley-Sinai Hospital | Detroit MI | $11,081 | 0.5× | 1 | 2026-05-20 |
| Lehigh Valley Hospital - Macungie | Pennsylvania (statewide) | $95,340 | 4.5× | 8 | 2026-07-01 |
| Northern Light Mercy Hospital | Maine (statewide) | $95,754 | 4.5× | 2 | 2026-04-15 |
| Northern Light Blue Hill Memorial Hospital | Maine (statewide) | $95,754 | 4.7× | 2 | 2026-03-30 |
| Northern Light C A Dean Hospital | Maine (statewide) | $95,754 | 4.7× | 2 | 2026-03-30 |
| Northern Light Sebasticook Valley Hospital | Maine (statewide) | $95,754 | 4.7× | 2 | 2026-03-30 |
| Providence Centralia Hospital | Washington (statewide) | $96,273 | 4.2× | 4 | 2026-04-01 |
| Parkview Regional Medical Center | Indiana (statewide) | $98,123 | 4.5× | 1 | 2026-09-01 |
| Parkview Hospital | Texas (statewide) | $98,123 | 4.7× | 1 | 2026-09-01 |
| Mainehealth Waldo Hospital | Maine (statewide) | $98,897 | 4.8× | 1 | 2025-09-09 |
| Northern Light Mayo Hospital | Maine (statewide) | $100,850 | 5.0× | 2 | 2026-03-30 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $105,411 | 4.4× | 5 | 2026-08-27 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $120,389 | 5.9× | 1 | 2025-09-09 |
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 penile implant?
Across 910 hospitals in 77 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 54405, hospital outpatient is $27,724, 1.3× the same hospital's local Medicare base rate. The middle half of hospitals runs $20,842 to $42,352. 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: Conemaugh Memorial Medical Center ($10,104), St James Parish Hospital ($10,436), Southeast Health Medical Center ($10,690). Highest: Mainehealth Lincoln Hospital ($120,389), Mary Bridge Children'S Hospital ($105,411), Northern Light Mayo Hospital ($100,850). Coverage: every hospital whose price file we could read.