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Penile implant in New York: what insurers pay

Posted commercial rates at 34 New York 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
Glens Falls Hospital Glens Falls$16,4350.6×22025-12-31
Nassau University Medical Center East Meadow$23,8190.9×12025-10-28
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$23,8190.9×12026-09-05
Jacobi Medical Center Bronx$23,8190.9×12026-09-05
Elmhurst Hospital Center Elmhurst$23,8190.9×12026-09-05
South Brooklyn Health Brooklyn$23,8190.9×12026-09-05
Metropolitan Hospital Center New York$23,8190.9×12026-09-05
Kings County Hospital Center Brooklyn$23,8190.9×12026-09-05
Bellevue Hospital Center New York$23,8190.9×12026-09-05
Saratoga Hospital Saratoga Springs$23,8190.9×12025-12-31
Queens Hospital Center Jamaica$23,8190.9×12026-09-05
Harlem Hospital Center New York$23,8190.9×12026-09-05
Montefiore Mount Vernon Hospital Mount Vernon$24,5770.9×72026-04-01
Montefiore Medical Center Bronx$25,0881.0×62026-04-01
Jamaica Hospital Medical Center Jamaica$25,7451.0×52026-03-25
Oneida Health Oneida$26,2661.0×62026-09-27
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$29,5891.1×52026-01-01
Columbia Memorial Hospital Hudson$35,7291.4×12025-12-31
Highland Hospital Rochester$37,1521.4×42026-07-01
Samaritan Medical Center Watertown$39,1881.5×32026-02-02
St Joseph'S Medical Center Yonkers$41,6951.6×12026-07-13
Strong Memorial Hospital Rochester$44,3911.7×42026-07-01
Jones Memorial Hospital Wellsville$44,4621.7×72026-01-01
Geneva General Hospital Geneva$45,6461.8×32026-08-27
Crouse Hospital Syracuse$46,4641.8×32026-05-19
Stony Brook University Hospital Stony Brook$51,4912.0×12026-06-10
Nicholas H Noyes Memorial Hospital Dansville$53,0122.0×62026-01-01
Garnet Health Medical Center Middletown$53,0382.0×32026-04-01
Roswell Park Cancer Institute Buffalo$54,1882.1×22026-04-01
St James Hospital Hornell$60,7692.4×52026-01-01
Erie County Medical Center Buffalo$64,6802.5×32026-08-25
Garnet Health Medical Center Catskills Harris$64,6802.5×12026-04-01
Medina Memorial Hospital Medina$68,6232.6×22026-07-29
Maimonides Medical Center Brooklyn$78,6513.0×12026-04-01

Questions

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

34 New York hospitals post usable commercial rates for penile implant in their federal price-transparency files. For CPT 54405, hospital outpatient, the median across 34 hospitals is $32,659, 1.3× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.