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Penile implant in New York: what insurers pay

Posted commercial rates at 3 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
Montefiore Medical Center Bronx$23,1470.9×42026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$29,5891.1×32026-01-01
Stony Brook University Hospital Stony Brook$51,4912.0×12026-06-10

Questions

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

3 New York hospitals post usable commercial rates for penile implant in their federal price-transparency files. For CPT 54405, hospital outpatient, the median across 3 hospitals is $29,589, 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.