CPT 54160 Surgery - Male Genital
Circumcision neonate Cost
Body System: Reproductive
Medicare Facility Rate
$132
CMS PFS CY2026
Medicare Non-Facility Rate
$228
Office/clinic setting
Hospital Outpatient
$712
OPPS rate
Surgery Center (ASC)
$311
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
2.47
Work RVU
1.16
Facility PE RVU
0.33
Malpractice RVU
6.84
Total RVU
Frequently Asked Questions
How much does Circumcision neonate cost?
The Medicare facility rate is $132. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $712. Ambulatory surgery center rate: $311.
How much does Circumcision neonate cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $132.