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Penile implant in Pennsylvania: what insurers pay

Posted commercial rates at 4 Pennsylvania 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
Thomas Jefferson University Hospital Philadelphia$11,3220.5×12026-09-15
Riddle Memorial Hospital Media$26,6161.3×12026-04-01
Bryn Mawr Hospital Bryn Mawr$26,8421.3×12026-04-01
Lehigh Valley Hospital Allentown$43,3562.1×72026-07-01

Questions

How much do insurers pay for penile implant in Pennsylvania?

4 Pennsylvania hospitals post usable commercial rates for penile implant in their federal price-transparency files. For CPT 54405, hospital outpatient, the median across 4 hospitals is $26,729, 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.