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Penile Implant, Semi-Rigid Type

West Virginia rates for HCPCS 54400

Surgical placement of a firm, bendable implant inside the penis to treat erectile dysfunction that has not responded to other treatment. The device stays rigid and is simply bent up or down by hand for intercourse or for concealment. It has no pump and no fluid reservoir.

Rates data updated October 2026.

How much does Penile Implant, Semi-Rigid Type cost?

$8,327

Typical total for the visit. In West Virginia, October 2026.

Insurers have agreed to pay about $8,327 for this procedure. That total is two separate charges: $741 to the doctor who performs it, and $7,586 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$741$537 to $1,380
Facility feeThe hospital or surgery center$7,586$1,862 to $11,482

How much rates vary

Facilitymedian $7,586 · 10th to 90th $1,413 to $30,200Professionalmedian $741 · 10th to 90th $457 to $1,585
$500$1K$2K$5K$10K$20Kfacility $7,586professional $741

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,737.80
Aetna
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$537.03
Typical High
$549.54
CareSource
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Cigna
Setting
Facility
Modifier
None
Typical Low
$851.14
Median
$1,862.09
Typical High
$30,199.52
Cigna
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$831.76
Typical High
$3,630.78
United
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$8,511.38
Typical High
$37,153.52
United
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$645.65
Typical High
$1,380.38

Where West Virginia sits

The same service costs 13.3 times more in Oklahoma than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

West Virginia· 26th of 51

$8,327

$741 physician + $7,586 facility

OK $22,088MT $1,664

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.