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Repair of a Traumatic Penile Injury

Maine rates for HCPCS 54437

This surgery repairs a tear in the erectile tissue of the penis caused by trauma, most often a penile fracture injury. Prompt surgical repair helps restore normal structure and function and reduces the risk of long-term complications.

Rates data updated July 2026.

How much does Repair of a Traumatic Penile Injury cost?

$8,156

Typical total for the visit. In Maine, July 2026.

Insurers have agreed to pay about $8,156 for this procedure. That total is two separate charges: $912 to the doctor who performs it, and $7,244 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$912$759 to $1,175
Facility feeThe hospital or surgery center$7,244$3,236 to $7,413

How much rates vary

Facilitymedian $7,244 · 10th to 90th $3,236 to $7,413Professionalmedian $912 · 10th to 90th $676 to $1,288
$500.0$1.0K$2.0K$5.0K$10.0Kfacility $7,244professional $912

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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
Global
Typical Low
$676.08
Median
$7,413.10
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$1,202.26
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$933.25
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,000.00
Typical High
$1,513.56
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$933.25
Typical High
$1,548.82
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$7,413.10
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,000.00
Typical High
$1,737.80

Where Maine sits

The same service costs 7.7 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeMaine $8,156 · 6th of 50
IN $11,009WV $1,435

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.