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Procedure price report · Other non-OR therapeutic procedures, male genital

Irrigation of the penis to treat a persistent erection

CPT 54220the billing code this page is about

Procedure to flush out and drain trapped blood from the erection chambers of the penis to relieve priapism.

Hospitals typically charge $458 cash for this outpatient procedure — the median across 1,881 hospitals that filed a usable cash price; the average of the middle 60% is $484. Most fall between $259 and $859 (20th–80th percentile).

Hospitals
1,881
States
49
Filings dated
Nov 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 1,881 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$199$285$458$735$1,214

The most expensive tenth of hospitals charges at least 6.1× what the cheapest tenth charges ($199 vs $1,214).

How the prices are spread

$152 – $194: 86 hospitals$152$194 – $249: 148 hospitals$249 – $320: 271 hospitals$249$320 – $410: 230 hospitals$410 – $526: 246 hospitals$410$526 – $674: 241 hospitals$674 – $865: 192 hospitals$674$865 – $1,109: 159 hospitals$1,109 – $1,422: 67 hospitals$1,109$1,422 – $1,824: 53 hospitals$1,422median $458price bands are equal on a log scale
Hospitals per price band (1,693 of 1,881 — the bands cover the 5th to 95th percentile)
FromToHospitals
$152$19486
$194$249148
$249$320271
$320$410230
$410$526246
$526$674241
$674$865192
$865$1,109159
$1,109$1,42267
$1,422$1,82453

Against Medicare

Medicare pays (OPPS 2026, national rate)$255
Median cash price$458
Cash as a multiple of Medicare1.79×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $458.

Alaska: median $582 across 10 hospitalsAK$582Maine: median $328 across 14 hospitalsME$328Vermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $256 across 10 hospitalsNH$256Washington: median $430 across 52 hospitalsWA$430Idaho: median $660 across 14 hospitalsID$660Montana: median $305 across 11 hospitalsMT$305North Dakota: median $287 across 11 hospitalsND$287Minnesota: median $378 across 57 hospitalsMN$378Illinois: median $558 across 85 hospitalsIL$558Wisconsin: median $488 across 71 hospitalsWI$488Michigan: median $366 across 62 hospitalsMI$366New York: median $378 across 85 hospitalsNY$378Massachusetts: median $847 across 39 hospitalsMA$847Oregon: median $506 across 41 hospitalsOR$506Nevada: median $628 across 14 hospitalsNV$628Wyoming: 9 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $538 across 10 hospitalsSD$538Iowa: median $426 across 32 hospitalsIA$426Indiana: median $334 across 38 hospitalsIN$334Ohio: median $464 across 80 hospitalsOH$464Pennsylvania: median $422 across 90 hospitalsPA$422New Jersey: median $874 across 49 hospitalsNJ$874Connecticut: median $492 across 15 hospitalsCT$492Rhode Island: 7 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $712 across 115 hospitalsCA$712Utah: median $504 across 26 hospitalsUT$504Colorado: median $749 across 46 hospitalsCO$749Nebraska: median $272 across 26 hospitalsNE$272Missouri: median $432 across 34 hospitalsMO$432Kentucky: median $271 across 24 hospitalsKY$271West Virginia: median $349 across 24 hospitalsWV$349Virginia: median $588 across 49 hospitalsVA$588Maryland: no hospital in the corpus filed a usable priceMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $796 across 22 hospitalsAZ$796New Mexico: median $232 across 16 hospitalsNM$232Kansas: median $358 across 29 hospitalsKS$358Arkansas: median $380 across 18 hospitalsAR$380Tennessee: median $256 across 38 hospitalsTN$256North Carolina: median $373 across 51 hospitalsNC$373South Carolina: median $356 across 41 hospitalsSC$356Oklahoma: median $273 across 43 hospitalsOK$273Louisiana: median $284 across 40 hospitalsLA$284Mississippi: median $178 across 40 hospitalsMS$178Alabama: median $307 across 21 hospitalsAL$307Georgia: median $660 across 52 hospitalsGA$660Hawaii: median $767 across 10 hospitalsHI$767Texas: median $583 across 121 hospitalsTX$583Florida: median $735 across 78 hospitalsFL$735
Cash price by state, most expensive first. National median $458. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ49$874+91%$286 – $4,350
Massachusetts MA39$847+85%$305 – $1,856
Arizona AZ22$796+74%$330 – $2,650
Hawaii HI10$767+68%$281 – $917
Colorado CO46$749+64%$468 – $960
Florida FL78$735+61%$536 – $1,330
California CA115$712+56%$334 – $1,098
Idaho ID14$660+44%$269 – $690
Georgia GA52$660+44%$299 – $987
Nevada NV14$628+37%$229 – $919
Virginia VA49$588+28%$256 – $883
Texas TX121$583+27%$320 – $1,097
Alaska AK10$582+27%$419 – $1,109
Illinois IL85$558+22%$283 – $788
South Dakota SD10$538+18%$376 – $678
Oregon OR41$506+11%$307 – $690
Utah UT26$504+10%$504 – $560
Connecticut CT15$492+7%$260 – $730
Wisconsin WI71$488+7%$372 – $599
Ohio OH80$464+1%$287 – $727
Missouri MO34$432−6%$217 – $572
Washington WA52$430−6%$254 – $701
Iowa IA32$426−7%$299 – $565
Pennsylvania PA90$422−8%$228 – $1,646
Arkansas AR18$380−17%$184 – $501
Minnesota MN57$378−17%$295 – $626
New York NY85$378−17%$259 – $653
North Carolina NC51$373−18%$248 – $616
Michigan MI62$366−20%$289 – $630
Kansas KS29$358−22%$235 – $870
South Carolina SC41$356−22%$334 – $859
West Virginia WV24$349−24%$285 – $455
Indiana IN38$334−27%$250 – $661
Maine ME14$328−28%$246 – $554
Alabama AL21$307−33%$222 – $476
Montana MT11$305−33%$155 – $411
North Dakota ND11$287−37%$237 – $458
Louisiana LA40$284−38%$147 – $481
Oklahoma OK43$273−40%$225 – $443
Nebraska NE26$272−41%$167 – $422
Kentucky KY24$271−41%$210 – $741
Tennessee TN38$256−44%$207 – $337
New Hampshire NH10$256−44%$140 – $388
New Mexico NM16$232−49%$204 – $1,221
Mississippi MS40$178−61%$125 – $323
Wyoming WY9not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Rhode Island RI7not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $458.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,477$466$259 – $929
Children’s23$491$287 – $1,043
Critical access376$422$259 – $633
Ownership
For-profit198$613$288 – $1,308
Government307$413$254 – $663
Non-profit1,371$458$256 – $859
System affiliation
Part of a system1,545$480$269 – $879
Independent336$386$229 – $690

Cash price vs list price

Median list price (chargemaster)$783
Median cash price$458
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

1,429 hospitals filed a usable inpatient cash price for this code. The median is $502 and the average of the middle 60% is $515; most fall between $272 and $875.

Cash price percentiles, inpatient, across 1,429 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$205$296$502$755$1,214

The most expensive tenth of hospitals charges at least 5.9× what the cheapest tenth charges ($205 vs $1,214).

Of the 1,520 hospitals that filed this code inpatient, 1,429 gave a usable cash price; 31 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 60 a list price only.

How complete is this

1,881 of the 3,956 hospitals with a price file in our corpus (48%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,013 hospitals that filed this code at all gave us
Usable cash price — counted1,881
Cash price carrying a plausibility flag — shown on the compare tool, excluded here56
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded6
A list price only, no cash figure — excluded69
Hospitals that filed this code2,013

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other non-OR therapeutic procedures, male genital family.

Hospitals file this code under descriptions such as Irrigation Corpora Cavernosa Priapism.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Irrigation of the penis to treat a persistent erection (CPT 54220) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-54220-irrigation-of-the-penis-to-treat-a-persistent-erection