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Penile implant in California: what insurers pay

Posted commercial rates at 5 California hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 54405

HospitalMedian across insurers× MedicareInsurersFile date
Cedars-Sinai Medical Center Los Angeles$22,0550.8×32025-11-26
John Muir Medical Center - Concord Campus Concord$27,4790.9×52026-03-23
Stanford Health Care Stanford$32,8561.1×42026-04-01
Keck Hospital Of Usc Los Angeles$55,8462.1×22026-04-01
Los Robles Hospital & Medical Center Thousand Oaks$58,4832.2×32026-09-01

Questions

How much do insurers pay for penile implant in California?

5 California hospitals post usable commercial rates for penile implant in their federal price-transparency files. For CPT 54405, hospital outpatient, the median across 5 hospitals is $32,856, 1.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.