CPT 54410 Surgery - Male Genital

Remove/replace penis prosth Cost

Body System: Reproductive

Medicare Facility Rate
$782
CMS PFS CY2026
Medicare Non-Facility Rate
$782
Office/clinic setting
Hospital Outpatient
$21
OPPS rate
Surgery Center (ASC)
$17
ASC rate

Relative Value Units (RVUs)

Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)

14.80
Work RVU
6.71
Facility PE RVU
1.91
Malpractice RVU
23.42
Total RVU

Frequently Asked Questions

How much does Remove/replace penis prosth cost?

The Medicare facility rate is $782. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $21. Ambulatory surgery center rate: $17.

How much does Remove/replace penis prosth 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 $782.

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