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Penile implant in Michigan: what insurers pay

Posted commercial rates at 5 Michigan 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
Harper University Hospital Detroit$11,0810.5×12026-09-02
Corewell Health Beaumont Grosse Pointe Hospital Grosse Pointe$17,7930.9×12026-05-01
Corewell Health William Beaumont University Hospit Royal Oak$17,7930.9×12026-05-01
Corewell Health Beaumont Troy Hospital Troy$17,7930.9×12026-05-01
Henry Ford Health Rochester Hospital Rochester$22,5971.1×12026-01-01

Questions

How much do insurers pay for penile implant in Michigan?

5 Michigan 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 $17,793, 0.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.