go back

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 October 2026.

How much does Repair of a Traumatic Penile Injury cost?

$2,119

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

Insurers have agreed to pay about $2,119 for this procedure. That total is two separate charges: $1,047 to the doctor who performs it, and $1,072 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,047$692 to $1,072
Facility feeThe hospital or surgery center$1,072$1,047 to $1,349

How much rates vary

Facilitymedian $1,072 · 10th to 90th $1,047 to $2,754Professionalmedian $1,047 · 10th to 90th $79 to $1,202
$100$200$500$1K$2K$5Kfacility $1,072professional $1,047

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$1,348.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,071.52
Median
$2,754.23
Typical High
$7,943.28
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$1,071.52
Typical High
$1,230.27
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$1,047.13
Typical High
$1,122.02
Providence
Setting
Facility
Modifier
None
Typical Low
$1,071.52
Median
$2,754.23
Typical High
$7,943.28
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$912.01
Typical High
$1,071.52
United
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$2,238.72
Typical High
$3,162.28
United
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,148.15
Typical High
$1,584.89

Where Montana sits

The same service costs 4.2 times more in Oklahoma than in Kentucky. 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· 50th of 51

$2,119

$1,047 physician + $1,072 facility

OK $7,369KY $1,773

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.