Techy SurgeonPrice AtlasInteractive atlas · All states · techysurgeon.com

Vasectomy: what insurers pay

Male sterilization. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

Open the interactive explorerAll operations

CPT 55250: Removal of Sperm Duct(S)

88 hospitals in 32 markets. National Medicare rate $2,136, surgery center $1,002.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA1———$4,175–$4,175
Austin TX2———$1,701–$5,386
Boston MA7$2,716$2,789$3,138$2,550–$4,170
California (statewide)1———$8,270–$8,270
Chicago IL6$3,716$4,109$4,274$2,854–$6,788
Cleveland OH5$3,502$3,570$3,932$3,256–$5,704
Dallas-Fort Worth TX4———$4,302–$7,368
Denver CO7$3,352$4,371$4,559$2,340–$5,980
Detroit MI5$3,273$3,273$3,273$1,680–$5,812
Georgia (statewide)1———$4,797–$4,797
Houston TX1———$3,614–$3,614
Illinois (statewide)1———$1,567–$1,567
Kansas (statewide)1———$3,708–$3,708
Las Vegas NV1———$2,738–$2,738
Los Angeles CA2———$7,662–$14,342
Miami-Fort Lauderdale FL1———$9,046–$9,046
Minneapolis-St. Paul MN1———$2,004–$2,004
Nashville TN3———$2,288–$3,284
New York (statewide)1———$5,762–$5,762
New York City2———$5,472–$8,442
Ohio (statewide)1———$5,206–$5,206
Philadelphia PA5$3,458$6,648$7,638$3,446–$8,155
Phoenix AZ3———$2,968–$3,039
Portland OR6$6,073$6,073$10,488$6,073–$11,960
Research Triangle NC1———$2,239–$2,239
Richmond VA2———$5,224–$5,224
San Antonio TX1———$3,695–$3,695
San Francisco Bay Area CA3———$11,715–$19,507
Seattle-Tacoma WA6$6,377$6,841$7,526$5,578–$7,609
Tampa FL2———$3,630–$6,291
Washington DC4———$2,447–$3,645
Wisconsin (statewide)1———$4,744–$4,744
HospitalMarketMedian across insurers× MedicareInsurersFile date
Sarah Bush Lincoln Health CenterIllinois (statewide)$1,5670.7×12026-06-03
Henry Ford Health Rochester HospitalDetroit MI$1,6800.8×12026-01-01
Ascension Seton Medical Center AustinAustin TX$1,7010.8×12026-01-01
Park Nicollet Methodist HospitalMinneapolis-St. Paul MN$2,0040.9×32026-03-31
UNC Hospitals (Chapel Hill)Research Triangle NC$2,2391.1×42026-04-01
Vanderbilt University Medical CenterNashville TN$2,2881.1×82025-10-01
Adventhealth PorterDenver CO$2,3401.1×42026-04-01
Adventhealth ParkerDenver CO$2,3401.1×42026-04-01
Medstar Washington Hospital CenterWashington DC$2,4471.0×52026-04-01
Beth Israel Deaconess Hospital - PlymouthBoston MA$2,5501.0×22026-04-01
Lahey Hospital & Medical Center, BurlingtonBoston MA$2,7091.1×22026-04-01
New England Baptist HospitalBoston MA$2,7221.1×42026-04-01
University Medical Center of Southern NevadaLas Vegas NV$2,7381.2×72026-07-01
Winchester HospitalBoston MA$2,7891.1×32026-04-01
Endeavor Health Northwest Community HospitalChicago IL$2,8541.3×32026-04-01
Beverly Hospital CorporationBoston MA$2,8791.1×42026-04-01
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$2,9681.3×42026-04-01
TriStar StoneCrest Medical CenterNashville TN$2,9681.5×42026-09-01
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$3,0391.4×52026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$3,0391.4×52026-04-01
University Hospitals - Elyria Medical CenterCleveland OH$3,2561.6×32026-07-14
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$3,2731.6×12026-05-01
Corewell Health William Beaumont University HospitDetroit MI$3,2731.6×12026-05-01
Corewell Health Beaumont Troy HospitalDetroit MI$3,2731.6×12026-05-01
Ascension Saint Thomas Hospital (Midtown + West)Nashville TN$3,2841.6×12026-01-01
Anna Jaques HospitalBoston MA$3,3981.4×32026-04-01
Riddle Memorial HospitalPhiladelphia PA$3,4461.6×22026-04-01
Bryn Mawr HospitalPhiladelphia PA$3,4581.6×22026-04-01
Reston Hospital CenterWashington DC$3,4801.6×42026-09-01
Stonesprings Hospital CenterWashington DC$3,4881.6×42026-09-01
Cleveland Clinic Lutheran HospitalCleveland OH$3,5021.8×32026-06-15
Medina HospitalCleveland OH$3,5701.8×42026-06-15
Endeavor Health Edward HospitalChicago IL$3,6081.6×22026-04-01
Houston Methodist HospitalHouston TX$3,6141.7×62026-04-01
Tampa General HospitalTampa FL$3,6301.7×32026-04-01
Inova Alexandria HospitalWashington DC$3,6451.7×52026-04-01
Methodist HospitalSan Antonio TX$3,6951.8×52026-09-01
Menorah Medical CenterKansas (statewide)$3,7081.9×52026-09-01
Cleveland Clinic (main campus)Cleveland OH$3,9322.0×22026-06-16
Endeavor Health Evanston HospitalChicago IL$4,0381.8×32026-04-01
Beth Israel Deaconess Medical CenterBoston MA$4,1701.7×22026-04-01
Emory University HospitalAtlanta GA$4,1752.0×62026-04-01
Rush University Medical CenterChicago IL$4,1801.9×22026-09-25
Baylor University Medical CenterDallas-Fort Worth TX$4,3022.0×32026-06-29
Endeavor Health Elmhurst HospitalChicago IL$4,3061.9×22026-04-01
HCA HealthONE Presbyterian/St. Luke'sDenver CO$4,3642.0×42026-09-01
HCA HealthONE SwedishDenver CO$4,3712.0×42026-09-01
HCA HealthONE Sky RidgeDenver CO$4,5502.1×42026-09-01
Hca Healthone RoseDenver CO$4,5682.1×42026-09-01
Orthopaedic Hospital Of WisconsinWisconsin (statewide)$4,7442.3×32026-01-01
Emory Houston Hospital Warner RobinsGeorgia (statewide)$4,7972.6×32026-04-01
Medical City MckinneyDallas-Fort Worth TX$5,1022.4×52026-09-01
Bethesda NorthOhio (statewide)$5,2062.6×42026-04-01
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$5,2242.6×42026-09-01
Henrico Doctors' HospitalRichmond VA$5,2242.6×42026-09-01
Medical City PlanoDallas-Fort Worth TX$5,3812.6×52026-09-01
St David's Medical CenterAustin TX$5,3862.6×52026-09-01
Montefiore Medical CenterNew York City$5,4722.1×82026-04-01
Overlake Hospital Medical CenterSeattle-Tacoma WA$5,5782.3×52026-04-01
Cleveland Clinic Hillcrest HospitalCleveland OH$5,7042.9×32026-06-15
Stony Brook University HospitalNew York (statewide)$5,7622.2×52026-06-10
Harper University HospitalDetroit MI$5,8122.8×12026-09-02
UCHealth University of Colorado HospitalDenver CO$5,9802.7×32025-11-01
Legacy Emanuel Medical CenterPortland OR$6,0732.6×52026-04-01
Legacy Good Samaritan Medical CenterPortland OR$6,0732.6×52026-04-01
Legacy Mount Hood Medical CenterPortland OR$6,0732.6×52026-04-01
Legacy Meridian Park Medical CenterPortland OR$6,0732.6×52026-04-01
Morton Plant HospitalTampa FL$6,2912.9×32026-01-01
St Clare HospitalSeattle-Tacoma WA$6,3682.6×62026-02-28
St Anthony HospitalSeattle-Tacoma WA$6,4052.6×62026-02-28
Jefferson Stratford HospitalPhiladelphia PA$6,6482.8×32026-09-15
University of Chicago Medical CenterChicago IL$6,7883.0×22026-04-01
Swedish Medical CenterSeattle-Tacoma WA$7,2773.0×52026-04-01
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$7,3683.5×22026-04-21
Multicare Good Samaritan HospitalSeattle-Tacoma WA$7,6093.1×72026-08-27
Tacoma General Allenmore HospitalSeattle-Tacoma WA$7,6093.1×72026-08-27
Thomas Jefferson University HospitalPhiladelphia PA$7,6383.6×22026-09-15
Keck Hospital Of UscLos Angeles CA$7,6622.9×52026-04-01
Inspira Medical Center Mullica HillPhiladelphia PA$8,1553.5×12026-03-24
Los Robles Hospital & Medical CenterCalifornia (statewide)$8,2703.1×52026-09-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$8,4423.2×72026-01-01
Cleveland Clinic HospitalMiami-Fort Lauderdale FL$9,0464.1×22026-06-15
John Muir Medical Center - Walnut Creek CampusSan Francisco Bay Area CA$11,7154.0×32026-03-23
John Muir Medical Center - Concord CampusSan Francisco Bay Area CA$11,7154.0×62026-03-23
Providence St Vincent Medical CenterPortland OR$11,9605.2×32026-04-01
Providence Portland Medical CenterPortland OR$11,9605.2×32026-04-01
Cedars-Sinai Medical CenterLos Angeles CA$14,3425.3×32025-11-26
Stanford Health CareSan Francisco Bay Area CA$19,5076.3×42026-04-01

Questions

How much do commercial insurers pay hospitals for vasectomy?

Across 88 hospitals in 32 metro areas that post a usable dollar rate, the median commercial rate for CPT 55250, hospital outpatient is $4,304, 2.0× the same hospital's local Medicare base rate. The middle half of hospitals runs $3,273 to $6,073. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for vasectomy?

Medicare's national hospital outpatient rate for CPT 55250 is $2,136 and its surgery-center rate is $1,002, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for vasectomy?

Lowest medians: Sarah Bush Lincoln Health Center ($1,567), Henry Ford Health Rochester Hospital ($1,680), Ascension Seton Medical Center Austin ($1,701). Highest: Stanford Health Care ($19,507), Cedars-Sinai Medical Center ($14,342), Providence Portland Medical Center ($11,960). Coverage is limited to the markets listed on this page.