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Procedure price report · Other OR therapeutic procedures, male genital

Shunt from the erection chambers to the head of the penis

CPT 54435the billing code this page is about

Procedure that creates an opening between the erection chambers and the glans of the penis to relieve a prolonged, painful erection.

Hospitals typically charge $3,745 cash for this outpatient procedure — the median across 497 hospitals that filed a usable cash price; the average of the middle 60% is $3,392. Most fall between $1,025 and $6,481 (20th–80th percentile).

Hospitals
497
States
43
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 497 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
$643$1,336$3,745$5,895$7,427

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($643 vs $7,427).

How the prices are spread

$474 – $634: 24 hospitals$474$634 – $848: 32 hospitals$848 – $1,134: 36 hospitals$848$1,134 – $1,516: 16 hospitals$1,516 – $2,027: 51 hospitals$1,516$2,027 – $2,711: 37 hospitals$2,711 – $3,624: 24 hospitals$2,711$3,624 – $4,847: 99 hospitals$4,847 – $6,481: 54 hospitals$4,847$6,481 – $8,666: 76 hospitals$6,481median $3,745price bands are equal on a log scale
Hospitals per price band (449 of 497 — the bands cover the 5th to 95th percentile)
FromToHospitals
$474$63424
$634$84832
$848$1,13436
$1,134$1,51616
$1,516$2,02751
$2,027$2,71137
$2,711$3,62424
$3,624$4,84799
$4,847$6,48154
$6,481$8,66676

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,601
Median cash price$3,745
Cash as a multiple of Medicare1.04×

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 $3,745.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 6 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $5,895 across 19 hospitalsWA$5,895Idaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 2 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $2,578 across 25 hospitalsIL$2,578Wisconsin: median $1,611 across 22 hospitalsWI$1,611Michigan: median $1,611 across 15 hospitalsMI$1,611New York: median $4,081 across 37 hospitalsNY$4,081Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: median $998 across 21 hospitalsOR$998Nevada: 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: no hospital in the corpus filed a usable priceSDIowa: median $1,046 across 16 hospitalsIA$1,046Indiana: 9 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $1,771 across 15 hospitalsOH$1,771Pennsylvania: median $3,768 across 24 hospitalsPA$3,768New Jersey: median $4,062 across 22 hospitalsNJ$4,062Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $5,489 across 61 hospitalsCA$5,489Utah: no hospital in the corpus filed a usable priceUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $2,232 across 10 hospitalsMO$2,232Kentucky: 5 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 5 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $2,672 across 19 hospitalsVA$2,672Maryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 6 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $2,387 across 12 hospitalsNC$2,387South Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $2,125 across 17 hospitalsOK$2,125Louisiana: median $1,735 across 10 hospitalsLA$1,735Mississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 9 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $4,658 across 44 hospitalsTX$4,658Florida: 7 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $3,745. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Washington WA19$5,895+57%$3,276 – $6,985
California CA61$5,489+47%$1,576 – $7,336
Texas TX44$4,658+24%$3,745 – $7,005
New York NY37$4,081+9%$2,430 – $7,462
New Jersey NJ22$4,062+8%$3,818 – $5,419
Pennsylvania PA24$3,768+1%$207 – $5,799
Virginia VA19$2,672−29%$2,308 – $5,695
Illinois IL25$2,578−31%$682 – $4,460
North Carolina NC12$2,387−36%$1,571 – $3,222
Missouri MO10$2,232−40%$665 – $2,232
Oklahoma OK17$2,125−43%$1,459 – $4,367
Ohio OH15$1,771−53%$1,025 – $3,468
Louisiana LA10$1,735−54%$941 – $6,120
Michigan MI15$1,611−57%$621 – $4,847
Wisconsin WI22$1,611−57%$1,611 – $6,243
Iowa IA16$1,046−72%$1,046 – $1,285
Oregon OR21$998−73%$763 – $7,235
Georgia GA9not enough hospitals filed a usable price
Indiana IN9not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Florida FL7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Kansas KS6not enough hospitals filed a usable price
Maine ME6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
West Virginia WV5not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Minnesota MN2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Massachusetts MA1not 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 $3,745.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care419$3,745$1,046 – $6,525
Children’s8fewer than 20 hospitals
Critical access69$1,673$878 – $6,243
Ownership
For-profit41$3,711$656 – $6,056
Government60$2,473$901 – $4,326
Non-profit395$3,768$1,046 – $6,696
System affiliation
Part of a system431$3,745$1,129 – $6,984
Independent66$1,373$741 – $4,829

Cash price vs list price

Median list price (chargemaster)$5,775
Median cash price$3,745
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

366 hospitals filed a usable inpatient cash price for this code. The median is $3,273 and the average of the middle 60% is $3,498; most fall between $1,038 and $7,005.

Cash price percentiles, inpatient, across 366 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
$584$1,336$3,273$6,056$7,427

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($584 vs $7,427).

Of the 400 hospitals that filed this code inpatient, 366 gave a usable cash price; 19 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 15 a list price only.

How complete is this

497 of the 3,956 hospitals with a price file in our corpus (13%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 551 hospitals that filed this code at all gave us
Usable cash price — counted497
Cash price carrying a plausibility flag — shown on the compare tool, excluded here33
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded18
Hospitals that filed this code551

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 23, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 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-Glans Penis Fstlj 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, “Shunt from the erection chambers to the head of the penis (CPT 54435) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-54435-shunt-from-the-erection-chambers-to-the-head-of-the-penis