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Penile implant in Illinois: what insurers pay

Posted commercial rates at 5 Illinois 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
Endeavor Health Northwest Community Hospital Arlington Heights$19,9400.9×22026-04-01
Endeavor Health Elmhurst Hospital Elmhurst$35,7811.6×12026-04-01
Endeavor Health Edward Hospital Naperville$35,7811.6×12026-04-01
Endeavor Health Evanston Hospital Evanston$41,8981.9×12026-04-01
University of Chicago Medical Center Chicago$45,8362.1×22026-04-01

Questions

How much do insurers pay for penile implant in Illinois?

5 Illinois 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 $35,781, 1.6× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.