go back

Repair of a Traumatic Penile Injury

Pennsylvania 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?

$4,582

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

Insurers have agreed to pay about $4,582 for this procedure. That total is two separate charges: $692 to the doctor who performs it, and $3,890 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$692$617 to $871
Facility feeThe hospital or surgery center$3,890$2,399 to $6,166

How much rates vary

Facilitymedian $3,890 · 10th to 90th $955 to $8,318Professionalmedian $692 · 10th to 90th $589 to $1,318
$500$1K$2K$5K$10Kfacility $3,890professional $692

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
$954.99
Median
$3,890.45
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$660.69
Typical High
$1,318.26
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$6,165.95
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,023.29
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$870.96
Typical High
$1,348.96
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$1,047.13
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$831.76
Typical High
$1,258.93
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,888.44
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$3,548.13
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$741.31
Typical High
$2,630.27
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$758.58
Typical High
$758.58
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$676.08
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,890.45
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$794.33
Typical High
$1,348.96

Where Pennsylvania 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

Pennsylvania· 25th of 50

$4,582

$692 physician + $3,890 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.