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

Freeing and stretching of a tight foreskin

CPT 54450the billing code this page is about

Non-surgical office procedure in which foreskin adhesions are separated and the foreskin is stretched back over the head of the penis.

Hospitals typically charge $341 cash for this outpatient procedure — the median across 1,630 hospitals that filed a usable cash price; the average of the middle 60% is $397. Most fall between $159 and $756 (20th–80th percentile).

Hospitals
1,630
States
50
Filings dated
Aug 2022 – 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 1,630 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
$106$179$341$699$1,211

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($106 vs $1,211).

How the prices are spread

$76 – $106: 82 hospitals$76$106 – $147: 138 hospitals$147 – $204: 170 hospitals$147$204 – $283: 181 hospitals$283 – $394: 218 hospitals$283$394 – $547: 217 hospitals$547 – $761: 220 hospitals$547$761 – $1,057: 131 hospitals$1,057 – $1,469: 61 hospitals$1,057$1,469 – $2,041: 50 hospitals$1,469median $341price bands are equal on a log scale
Hospitals per price band (1,468 of 1,630 — the bands cover the 5th to 95th percentile)
FromToHospitals
$76$10682
$106$147138
$147$204170
$204$283181
$283$394218
$394$547217
$547$761220
$761$1,057131
$1,057$1,46961
$1,469$2,04150

Against Medicare

Medicare pays (OPPS 2026, national rate)$255
Median cash price$341
Cash as a multiple of Medicare1.34×

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 $341.

Alaska: 9 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $246 across 18 hospitalsME$246Vermont: 9 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $74 across 15 hospitalsNH$74Washington: median $338 across 53 hospitalsWA$338Idaho: median $408 across 10 hospitalsID$408Montana: median $210 across 12 hospitalsMT$210North Dakota: median $198 across 11 hospitalsND$198Minnesota: median $318 across 54 hospitalsMN$318Illinois: median $380 across 65 hospitalsIL$380Wisconsin: median $231 across 63 hospitalsWI$231Michigan: median $344 across 59 hospitalsMI$344New York: median $293 across 71 hospitalsNY$293Massachusetts: median $825 across 37 hospitalsMA$825Oregon: median $165 across 40 hospitalsOR$165Nevada: median $271 across 10 hospitalsNV$271Wyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $182 across 10 hospitalsSD$182Iowa: median $197 across 36 hospitalsIA$197Indiana: median $250 across 33 hospitalsIN$250Ohio: median $401 across 58 hospitalsOH$401Pennsylvania: median $347 across 64 hospitalsPA$347New Jersey: median $1,063 across 40 hospitalsNJ$1,063Connecticut: median $364 across 15 hospitalsCT$364Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $618 across 111 hospitalsCA$618Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $462 across 32 hospitalsCO$462Nebraska: median $181 across 31 hospitalsNE$181Missouri: median $235 across 40 hospitalsMO$235Kentucky: median $297 across 19 hospitalsKY$297West Virginia: median $288 across 24 hospitalsWV$288Virginia: median $394 across 46 hospitalsVA$394Maryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: median $1,361 across 16 hospitalsAZ$1,361New Mexico: median $277 across 13 hospitalsNM$277Kansas: median $235 across 23 hospitalsKS$235Arkansas: median $235 across 12 hospitalsAR$235Tennessee: median $107 across 26 hospitalsTN$107North Carolina: median $329 across 44 hospitalsNC$329South Carolina: median $323 across 33 hospitalsSC$323Oklahoma: median $295 across 35 hospitalsOK$295Louisiana: median $335 across 26 hospitalsLA$335Mississippi: median $159 across 34 hospitalsMS$159Alabama: median $416 across 13 hospitalsAL$416Georgia: median $626 across 49 hospitalsGA$626Hawaii: median $342 across 11 hospitalsHI$342Texas: median $741 across 114 hospitalsTX$741Florida: median $545 across 68 hospitalsFL$545
Cash price by state, most expensive first. National median $341. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Arizona AZ16$1,361+299%$202 – $3,360
New Jersey NJ40$1,063+212%$286 – $4,709
Massachusetts MA37$825+142%$250 – $1,929
Texas TX114$741+117%$249 – $896
Georgia GA49$626+84%$525 – $901
California CA111$618+81%$296 – $1,691
Florida FL68$545+60%$263 – $909
Colorado CO32$462+35%$125 – $767
Alabama AL13$416+22%$200 – $800
Idaho ID10$408+20%$278 – $660
Ohio OH58$401+18%$237 – $727
Virginia VA46$394+16%$128 – $776
Illinois IL65$380+11%$184 – $824
Connecticut CT15$364+7%$209 – $638
Pennsylvania PA64$347+2%$167 – $830
Michigan MI59$344+1%$69 – $610
Hawaii HI11$3420%$78 – $765
Washington WA53$338−1%$133 – $771
Louisiana LA26$335−2%$184 – $528
North Carolina NC44$329−3%$175 – $1,020
South Carolina SC33$323−5%$323 – $933
Minnesota MN54$318−7%$132 – $529
Kentucky KY19$297−13%$98 – $404
Oklahoma OK35$295−13%$175 – $483
New York NY71$293−14%$165 – $697
West Virginia WV24$288−16%$94 – $545
New Mexico NM13$277−19%$60 – $3,072
Nevada NV10$271−21%$235 – $652
Indiana IN33$250−27%$131 – $394
Maine ME18$246−28%$110 – $554
Missouri MO40$235−31%$134 – $636
Kansas KS23$235−31%$140 – $457
Arkansas AR12$235−31%$143 – $589
Wisconsin WI63$231−32%$129 – $572
Montana MT12$210−38%$145 – $354
North Dakota ND11$198−42%$120 – $355
Iowa IA36$197−42%$126 – $519
South Dakota SD10$182−46%$182 – $335
Nebraska NE31$181−47%$141 – $315
Oregon OR40$165−52%$127 – $368
Mississippi MS34$159−53%$89 – $313
Tennessee TN26$107−69%$82 – $154
New Hampshire NH15$74−78%$60 – $160
Alaska AK9not enough hospitals filed a usable price
Vermont VT9not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Utah UT3not enough hospitals filed a usable price
Delaware DE1not 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 $341.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,248$411$178 – $848
Children’s34$528$259 – $800
Critical access344$194$119 – $429
Ownership
For-profit154$547$222 – $1,257
Government259$264$131 – $622
Non-profit1,213$346$164 – $756
System affiliation
Part of a system1,341$372$166 – $776
Independent289$263$130 – $600

Cash price vs list price

Median list price (chargemaster)$661
Median cash price$341
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

1,234 hospitals filed a usable inpatient cash price for this code. The median is $411 and the average of the middle 60% is $445; most fall between $173 and $776.

Cash price percentiles, inpatient, across 1,234 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
$111$205$411$735$1,112

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($111 vs $1,112).

Of the 1,308 hospitals that filed this code inpatient, 1,234 gave a usable cash price; 32 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 42 a list price only.

How complete is this

1,630 of the 3,956 hospitals with a price file in our corpus (41%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,745 hospitals that filed this code at all gave us
Usable cash price — counted1,630
Cash price carrying a plausibility flag — shown on the compare tool, excluded here60
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded51
Hospitals that filed this code1,745

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 Foreskn Manj W/Lss Preputial Ads&Stretching.

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, “Freeing and stretching of a tight foreskin (CPT 54450) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-54450-freeing-and-stretching-of-a-tight-foreskin