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Penile implant in Ohio: what insurers pay

Posted commercial rates at 5 Ohio 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
University Hospitals - Elyria Medical Center Elyria$18,1180.9×12026-07-14
Bethesda North Cincinnati$30,2971.5×32026-04-01
Medina Hospital Medina$37,1611.9×12026-06-15
Cleveland Clinic Lutheran Hospital Cleveland$42,4502.2×12026-06-15
Cleveland Clinic Hillcrest Hospital Mayfield Heights$48,0742.5×12026-06-15

Questions

How much do insurers pay for penile implant in Ohio?

5 Ohio 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 $37,161, 1.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.