CPT 55870 Surgery - Male Genital
Electroejaculation Cost
Body System: Reproductive
Medicare Facility Rate
$128
CMS PFS CY2026
Medicare Non-Facility Rate
$185
Office/clinic setting
Hospital Outpatient
$941
OPPS rate
Surgery Center (ASC)
$91
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
2.52
Work RVU
0.97
Facility PE RVU
0.33
Malpractice RVU
5.55
Total RVU
Frequently Asked Questions
How much does Electroejaculation cost?
The Medicare facility rate is $128. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $941. Ambulatory surgery center rate: $91.
How much does Electroejaculation 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 $128.