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Procedure price report · Other OR therapeutic procedures, male genital

Surgical shunt for prolonged erection using a leg vein

CPT 54420the billing code this page is about

Open surgery that creates a connection between the erection chambers of the penis and the saphenous vein of the leg to drain trapped blood in priapism.

Hospitals typically charge $3,172 cash for this outpatient procedure — the median across 365 hospitals that filed a usable cash price; the average of the middle 60% is $3,034. Most fall between $1,185 and $4,836 (20th–80th percentile).

Hospitals
365
States
44
Filings dated
Jun 2024 – 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 365 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
$1,056$1,390$3,172$4,425$5,430

The most expensive tenth of hospitals charges at least 5.1× what the cheapest tenth charges ($1,056 vs $5,430).

How the prices are spread

$668 – $850: 11 hospitals$668$850 – $1,082: 11 hospitals$1,082 – $1,378: 53 hospitals$1,082$1,378 – $1,754: 18 hospitals$1,754 – $2,233: 24 hospitals$1,754$2,233 – $2,842: 36 hospitals$2,842 – $3,618: 35 hospitals$2,842$3,618 – $4,605: 80 hospitals$4,605 – $5,862: 53 hospitals$4,605$5,862 – $7,462: 13 hospitals$5,862median $3,172price bands are equal on a log scale
Hospitals per price band (334 of 365 — the bands cover the 5th to 95th percentile)
FromToHospitals
$668$85011
$850$1,08211
$1,082$1,37853
$1,378$1,75418
$1,754$2,23324
$2,233$2,84236
$2,842$3,61835
$3,618$4,60580
$4,605$5,86253
$5,862$7,46213

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,601
Median cash price$3,172
Cash as a multiple of Medicare0.88×

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 $3,172.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 2 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $3,017 across 24 hospitalsMN$3,017Illinois: median $1,254 across 13 hospitalsIL$1,254Wisconsin: median $4,269 across 13 hospitalsWI$4,269Michigan: median $1,110 across 11 hospitalsMI$1,110New York: median $4,081 across 26 hospitalsNY$4,081Massachusetts: 4 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 8 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $1,778 across 15 hospitalsIA$1,778Indiana: 4 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $4,040 across 18 hospitalsOH$4,040Pennsylvania: median $534 across 18 hospitalsPA$534New Jersey: median $4,087 across 23 hospitalsNJ$4,087Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,302 across 26 hospitalsCA$2,302Utah: no hospital in the corpus filed a usable priceUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 2 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 5 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 3 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: 8 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 8 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: median $5,006 across 14 hospitalsSC$5,006Oklahoma: median $1,163 across 18 hospitalsOK$1,163Louisiana: 8 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 1 hospital filed a usable price — fewer than 10, so no figureALGeorgia: 2 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $4,568 across 43 hospitalsTX$4,568Florida: 5 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $3,172. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
South Carolina SC14$5,006+58%$5,006 – $7,570
Texas TX43$4,568+44%$4,045 – $4,836
Wisconsin WI13$4,269+35%$4,269 – $5,145
New Jersey NJ23$4,087+29%$3,818 – $5,419
New York NY26$4,081+29%$3,768 – $4,400
Ohio OH18$4,040+27%$3,221 – $4,040
Minnesota MN24$3,017−5%$2,538 – $3,333
California CA26$2,302−27%$2,302 – $2,302
Iowa IA15$1,778−44%$1,778 – $1,778
Illinois IL13$1,254−60%$1,138 – $2,835
Oklahoma OK18$1,163−63%$1,163 – $1,609
Michigan MI11$1,110−65%$1,110 – $4,847
Pennsylvania PA18$534−83%$435 – $5,831
Idaho ID8not enough hospitals filed a usable price
Louisiana LA8not enough hospitals filed a usable price
North Carolina NC8not enough hospitals filed a usable price
Oregon OR8not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Florida FL5not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
Indiana IN4not enough hospitals filed a usable price
Massachusetts MA4not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Georgia GA2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
Missouri MO2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Washington WA2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Alabama AL1not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
South Dakota SD1not 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 $3,172.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care307$3,328$1,187 – $4,847
Children’s4fewer than 20 hospitals
Critical access54$3,017$1,138 – $4,269
Ownership
For-profit38$4,044$1,138 – $6,120
Government42$1,823$1,161 – $4,081
Non-profit285$3,320$1,286 – $4,847
System affiliation
Part of a system318$3,328$1,192 – $4,847
Independent47$2,005$1,161 – $4,326

Cash price vs list price

Median list price (chargemaster)$4,082
Median cash price$3,172
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. 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

232 hospitals filed a usable inpatient cash price for this code. The median is $2,302 and the average of the middle 60% is $2,702; most fall between $1,163 and $4,836.

Cash price percentiles, inpatient, across 232 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
$865$1,252$2,302$4,568$5,430

The most expensive tenth of hospitals charges at least 6.3× what the cheapest tenth charges ($865 vs $5,430).

Of the 240 hospitals that filed this code inpatient, 232 gave a usable cash price; 7 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 1 a list price only.

How complete is this

365 of the 3,956 hospitals with a price file in our corpus (9%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 394 hospitals that filed this code at all gave us
Usable cash price — counted365
Cash price carrying a plausibility flag — shown on the compare tool, excluded here23
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded3
A list price only, no cash figure — excluded2
Hospitals that filed this code394

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 OR therapeutic procedures, male genital family.

Hospitals file this code under descriptions such as Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi.

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, “Surgical shunt for prolonged erection using a leg vein (CPT 54420) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-54420-surgical-shunt-for-prolonged-erection-using-a-leg-vein