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Repair of a Traumatic Penile Injury

Montana 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?

$2,350

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

Insurers have agreed to pay about $2,350 for this procedure. That total is two separate charges: $1,175 to the doctor who performs it, and $1,175 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$1,175$977 to $1,349
Facility feeThe hospital or surgery center$1,175$1,148 to $1,259

How much rates vary

Facilitymedian $1,175 · 10th to 90th $1,122 to $10,000Professionalmedian $1,175 · 10th to 90th $708 to $3,715
$100$1K$10K$100Kfacility $1,175professional $1,175

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,288.25
Typical High
$3,715.35
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,071.52
Typical High
$1,071.52
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,174.90
Typical High
$1,412.54
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,174.90
Typical High
$1,412.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$912.01
Typical High
$1,071.52
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$870.96
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,148.15
Typical High
$1,659.59

Where Montana sits

The same service costs 7.7 times more in Indiana than in West Virginia. 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

Montana· 48th of 50

$2,350

$1,175 physician + $1,175 facility

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.