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Procedure price report · Other OR therapeutic procedures, male genital

Removal of the epididymis on both sides

CPT 54861the billing code this page is about

Surgery to remove the coiled tube behind each testicle during one operation.

Hospitals typically charge $2,185 cash for this outpatient procedure — the median across 285 hospitals that filed a usable cash price; the average of the middle 60% is $2,454. Most fall between $942 and $4,561 (20th–80th percentile).

Hospitals
285
States
41
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 285 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
$656$1,005$2,185$4,267$5,419

The most expensive tenth of hospitals charges at least 8.3× what the cheapest tenth charges ($656 vs $5,419).

How the prices are spread

$568 – $736: 19 hospitals$568$736 – $954: 30 hospitals$954 – $1,237: 36 hospitals$954$1,237 – $1,603: 22 hospitals$1,603 – $2,078: 10 hospitals$1,603$2,078 – $2,693: 24 hospitals$2,693 – $3,490: 14 hospitals$2,693$3,490 – $4,523: 58 hospitals$4,523 – $5,862: 32 hospitals$4,523$5,862 – $7,598: 12 hospitals$5,862median $2,185price bands are equal on a log scale
Hospitals per price band (257 of 285 — the bands cover the 5th to 95th percentile)
FromToHospitals
$568$73619
$736$95430
$954$1,23736
$1,237$1,60322
$1,603$2,07810
$2,078$2,69324
$2,693$3,49014
$3,490$4,52358
$4,523$5,86232
$5,862$7,59812

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,601
Median cash price$2,185
Cash as a multiple of Medicare0.61×

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 $2,185.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 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: 5 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 9 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 2 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,005 across 12 hospitalsIL$1,005Wisconsin: median $2,185 across 23 hospitalsWI$2,185Michigan: median $1,072 across 19 hospitalsMI$1,072New York: median $4,081 across 23 hospitalsNY$4,081Massachusetts: no hospital in the corpus filed a usable priceMAOregon: 8 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $1,430 across 17 hospitalsIA$1,430Indiana: 5 hospitals filed a usable price — fewer than 10, so no figureINOhio: 8 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $416 across 15 hospitalsPA$416New 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 $4,267 across 24 hospitalsCA$4,267Utah: no hospital in the corpus filed a usable priceUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 6 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: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: no hospital in the corpus filed a usable priceKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $942 across 12 hospitalsOK$942Louisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $5,269 across 21 hospitalsTX$5,269Florida: 4 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,185. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Texas TX21$5,269+141%$3,368 – $5,269
California CA24$4,267+95%$4,267 – $4,267
New York NY23$4,081+87%$1,630 – $4,098
New Jersey NJ22$4,062+86%$3,818 – $5,419
Wisconsin WI23$2,1850%$2,185 – $2,903
Iowa IA17$1,430−35%$1,430 – $1,593
Michigan MI19$1,072−51%$854 – $4,847
Illinois IL12$1,005−54%$1,004 – $1,430
Oklahoma OK12$942−57%$942 – $942
Pennsylvania PA15$416−81%$352 – $4,044
Idaho ID9not enough hospitals filed a usable price
Ohio OH8not enough hospitals filed a usable price
Oregon OR8not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
West Virginia WV6not enough hospitals filed a usable price
Indiana IN5not enough hospitals filed a usable price
Washington WA5not enough hospitals filed a usable price
Florida FL4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
Minnesota MN2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Wyoming WY1not 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 $2,185.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care230$2,522$942 – $4,704
Children’s3fewer than 20 hospitals
Critical access51$2,132$1,005 – $3,104
Ownership
For-profit28$2,990$1,005 – $6,554
Government36$1,768$946 – $4,081
Non-profit220$2,185$942 – $4,400
System affiliation
Part of a system232$2,508$942 – $4,704
Independent53$1,379$937 – $4,326

Cash price vs list price

Median list price (chargemaster)$2,542
Median cash price$2,185
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

164 hospitals filed a usable inpatient cash price for this code. The median is $1,430 and the average of the middle 60% is $2,028; most fall between $942 and $4,267.

Cash price percentiles, inpatient, across 164 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
$828$1,005$1,430$4,267$5,269

The most expensive tenth of hospitals charges at least 6.4× what the cheapest tenth charges ($828 vs $5,269).

Of the 173 hospitals that filed this code inpatient, 164 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 2 a list price only.

How complete is this

285 of the 3,956 hospitals with a price file in our corpus (7%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 303 hospitals that filed this code at all gave us
Usable cash price — counted285
Cash price carrying a plausibility flag — shown on the compare tool, excluded here14
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded3
Hospitals that filed this code303

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 Epididymectomy Bilateral.

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, “Removal of the epididymis on both sides (CPT 54861) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-54861-removal-of-the-epididymis-on-both-sides