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Repair of a Traumatic Penile Injury

Ohio 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?

$4,510

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

Insurers have agreed to pay about $4,510 for this procedure. That total is two separate charges: $794 to the doctor who performs it, and $3,715 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$794$676 to $1,122
Facility feeThe hospital or surgery center$3,715$2,239 to $7,586

How much rates vary

Facilitymedian $3,715 · 10th to 90th $1,288 to $12,023Professionalmedian $794 · 10th to 90th $631 to $3,715
$50$200$1K$5Kfacility $3,715professional $794

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
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$3,715.35
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$851.14
Typical High
$8,912.51
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,548.13
Typical High
$15,135.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$776.25
Typical High
$1,348.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$691.83
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,096.48
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$891.25
Typical High
$1,380.38
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$891.25
Typical High
$1,348.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$741.31
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,168.69
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$794.33
Typical High
$1,288.25

Where Ohio 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

Ohio· 28th of 50

$4,510

$794 physician + $3,715 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.