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Penile implant in Texas: what insurers pay

Posted commercial rates at 8 Texas 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
Ascension Seton Medical Center Austin Austin$16,8710.8×12026-01-01
Houston Methodist Hospital Houston$24,6001.2×22026-04-01
Medical City Mckinney McKinney$29,1711.4×42026-09-01
Methodist Hospital San Antonio$35,8901.7×22026-09-01
Baylor University Medical Center Dallas$36,1041.7×22026-06-29
St David's Medical Center Austin$40,5021.9×22026-09-01
Medical City Plano Plano$44,8142.1×32026-09-01
Texas Health Presbyterian Hospital Dallas Dallas$55,5782.7×22026-04-21

Questions

How much do insurers pay for penile implant in Texas?

8 Texas hospitals post usable commercial rates for penile implant in their federal price-transparency files. For CPT 54405, hospital outpatient, the median across 8 hospitals is $35,997, 1.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.