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Penile implant in West Virginia: what insurers pay

Posted commercial rates at 3 West Virginia hospitals, each next to its own Medicare base rate.

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CPT 54405

HospitalMedian across insurers× MedicareInsurersFile date
Cabell Huntington Hospital, Inc Huntington$22,3431.1×12026-01-01
Thomas Memorial Hospital South Charleston$67,3743.4×22026-07-10
St Mary'S Medical Center Huntington$81,4924.1×22026-01-01

Questions

How much do insurers pay for penile implant in West Virginia?

3 West Virginia 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 $67,374, 3.4× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.