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Repair of a Traumatic Penile Injury

Virginia 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?

$4,425

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

Insurers have agreed to pay about $4,425 for this procedure. That total is two separate charges: $794 to the doctor who performs it, and $3,631 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$759 to $1,096
Facility feeThe hospital or surgery center$3,631$1,023 to $7,079

How much rates vary

Facilitymedian $3,631 · 10th to 90th $759 to $9,772Professionalmedian $794 · 10th to 90th $661 to $2,754
$500$1K$2K$5K$10Kfacility $3,631professional $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
$1,096.48
Median
$3,890.45
Typical High
$13,182.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$776.25
Typical High
$3,235.94
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$6,760.83
Typical High
$7,413.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$851.14
Typical High
$1,230.27
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$870.96
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$891.25
Typical High
$1,584.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$724.44
Typical High
$891.25
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
Medcost
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$891.25
Typical High
$1,412.54
Sentara
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$912.01
Typical High
$8,709.64
Sentara
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$912.01
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$6,606.93
Typical High
$13,489.63
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$891.25
Typical High
$1,445.44

Where Virginia 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

Virginia· 31st of 50

$4,425

$794 physician + $3,631 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.