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Penile implant in Virginia: what insurers pay

Posted commercial rates at 25 Virginia hospitals, each next to its own Medicare base rate.

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CPT 54405

HospitalMedian across insurers× MedicareInsurersFile date
CJW Medical Center (Chippenham + Johnston-Willis) Richmond$12,9300.6×22026-09-01
Tricities Hospital Hopewell$12,9780.6×22026-09-01
Lewisgale Medical Center Salem$13,4120.7×22026-09-01
Spotsylvania Regional Medical Center Fredericksburg$13,6320.6×22026-09-01
Lewisgale Hospital Montgomery Blacksburg$13,6400.7×22026-09-01
Lewisgale Hospital Alleghany Low Moor$14,9470.7×12026-09-01
Lewisgale Hospital Pulaski Pulaski$15,1410.8×12026-09-01
Henrico Doctors' Hospital Richmond$15,2070.8×22026-09-01
Stonesprings Hospital Center Dulles$15,4880.7×22026-09-01
Reston Hospital Center Reston$15,9970.8×22026-09-01
Sentara Northern Virginia Medical Center Woodbridge$32,1701.5×22026-04-01
Inova Alexandria Hospital Alexandria$46,1382.1×32026-04-01
Inova Loudoun Hospital Leesburg$46,1382.1×32026-04-01
Inova Fair Oaks Hospital Fairfax$46,1382.1×32026-04-01
Inova Mount Vernon Hospital Alexandria$46,1382.1×32026-04-01
Inova Fairfax Hospital Falls Church$46,8672.2×32026-04-01
Sentara Leigh Hospital Norfolk$48,3682.4×22026-04-01
Sentara Virginia Beach General Hospital Virginia Beach$50,8202.5×22026-04-01
Sentara Princess Anne Hospital Virginia Beach$52,5982.6×22026-04-01
Sentara Careplex Hospital Hampton$52,8392.6×22026-04-01
Sentara Norfolk General Hospital Norfolk$53,4562.6×22026-04-01
Sentara Martha Jefferson Hospital Charlottesville$54,1862.6×22026-04-01
Sentara Williamsburg Regional Medical Center Williamsburg$55,6292.8×22026-04-01
Sentara Obici Hospital Suffolk$58,2132.9×22026-04-01
Augusta Health Fishersville$58,9182.9×22026-04-01

Questions

How much do insurers pay for penile implant in Virginia?

25 Virginia hospitals post usable commercial rates for penile implant in their federal price-transparency files. For CPT 54405, hospital outpatient, the median across 25 hospitals is $46,138, 2.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.