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Penile implant in New Jersey: what insurers pay

Posted commercial rates at 19 New Jersey 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
Centrastate Medical Center Freehold$22,2801.0×112026-01-01
Raritan Bay Medical Center Perth Amboy$22,7981.0×22025-12-31
Southern Ocean Medical Center Manahawkin$22,8601.0×22025-12-31
Bayshore Medical Center Holmdel$22,8921.0×22025-12-31
Riverview Medical Center Red Bank$23,0501.0×22025-12-31
Shore Medical Center Somers Point$23,3181.0×32026-08-30
Morristown Medical Center Morristown$23,3561.0×12026-04-01
Chilton Medical Center Pompton Plains$23,3561.0×102026-04-01
Newton Medical Center Newton$23,3561.0×102026-04-01
Overlook Medical Center Summit$23,3561.0×102026-04-01
Hackettstown Medical Center Hackettstown$23,3561.0×92026-04-01
Palisades Medical Center North Bergen$23,5371.0×22025-12-31
Ocean University Medical Center Brick$23,7681.0×22025-12-31
Jfk University Medical Center Edison$24,3791.1×22025-12-31
Valley Hospital Paramus$24,5981.0×22026-05-06
Jersey Shore University Medical Center Neptune$24,8601.1×12025-12-31
Hackensack University Medical Center Hackensack$25,7331.1×22025-12-31
Englewood Hospital Englewood$39,1131.6×32026-02-02
St Joseph'S University Medical Center Inc Paterson$42,3521.7×32026-04-24

Questions

How much do insurers pay for penile implant in New Jersey?

19 New Jersey hospitals post usable commercial rates for penile implant in their federal price-transparency files. For CPT 54405, hospital outpatient, the median across 19 hospitals is $23,356, 1.0× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.