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Procedure price report · Other OR therapeutic procedures, male genital

Keyhole surgery to tie off spermatic veins for varicocele

CPT 55550the billing code this page is about

Laparoscopic surgery using small incisions and a camera to tie off the swollen veins of the spermatic cord.

Hospitals typically charge $2,656 cash for this outpatient procedure — the median across 284 hospitals that filed a usable cash price; the average of the middle 60% is $3,773. Most fall between $723 and $7,954 (20th–80th percentile).

Hospitals
284
States
42
Filings dated
Jan 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 284 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
$613$790$2,656$7,284$12,090

The most expensive tenth of hospitals charges at least 20× what the cheapest tenth charges ($613 vs $12,090).

How the prices are spread

$454 – $635: 23 hospitals$454$635 – $888: 47 hospitals$888 – $1,242: 34 hospitals$888$1,242 – $1,738: 8 hospitals$1,738 – $2,431: 16 hospitals$1,738$2,431 – $3,401: 3 hospitals$3,401 – $4,757: 12 hospitals$3,401$4,757 – $6,655: 36 hospitals$6,655 – $9,309: 44 hospitals$6,655$9,309 – $13,022: 35 hospitals$9,309median $2,656price bands are equal on a log scale
Hospitals per price band (258 of 284 — the bands cover the 5th to 95th percentile)
FromToHospitals
$454$63523
$635$88847
$888$1,24234
$1,242$1,7388
$1,738$2,43116
$2,431$3,4013
$3,401$4,75712
$4,757$6,65536
$6,655$9,30944
$9,309$13,02235

Against Medicare

Medicare pays (OPPS 2026, national rate)$6,176
Median cash price$2,656
Cash as a multiple of Medicare0.43×

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 $2,656.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital 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: 3 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: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 4 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $646 across 11 hospitalsIL$646Wisconsin: 7 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $731 across 14 hospitalsMI$731New York: median $6,904 across 29 hospitalsNY$6,904Massachusetts: no hospital in the corpus filed a usable priceMAOregon: 6 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 $1,081 across 17 hospitalsIA$1,081Indiana: 4 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $1,872 across 11 hospitalsOH$1,872Pennsylvania: median $6,988 across 15 hospitalsPA$6,988New Jersey: median $6,458 across 28 hospitalsNJ$6,458Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $12,090 across 25 hospitalsCA$12,090Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 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: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 1 hospital filed a usable price — fewer than 10, so no figureWVVirginia: 4 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: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $713 across 13 hospitalsOK$713Louisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $6,604 across 19 hospitalsTX$6,604Florida: 9 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,656. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA25$12,090+355%$2,152 – $12,090
Pennsylvania PA15$6,988+163%$125 – $10,562
New York NY29$6,904+160%$995 – $6,904
Texas TX19$6,604+149%$5,574 – $6,604
New Jersey NJ28$6,458+143%$5,110 – $7,786
Ohio OH11$1,872−30%$1,048 – $1,944
Iowa IA17$1,081−59%$1,081 – $1,174
Michigan MI14$731−72%$679 – $8,313
Oklahoma OK13$713−73%$713 – $11,895
Illinois IL11$646−76%$613 – $1,081
Florida FL9not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Wisconsin WI7not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
Oregon OR6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Indiana IN4not enough hospitals filed a usable price
Minnesota MN4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Washington WA3not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Missouri MO2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price
West Virginia WV1not 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 $2,656.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care242$4,627$731 – $8,313
Children’s8fewer than 20 hospitals
Critical access33$1,207$613 – $6,604
Ownership
For-profit29$5,150$613 – $9,860
Government37$1,392$768 – $6,904
Non-profit217$2,656$713 – $8,313
System affiliation
Part of a system232$4,389$731 – $8,313
Independent52$1,070$703 – $5,856

Cash price vs list price

Median list price (chargemaster)$1,750
Median cash price$2,656
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

160 hospitals filed a usable inpatient cash price for this code. The median is $1,070 and the average of the middle 60% is $2,190; most fall between $613 and $8,927.

Cash price percentiles, inpatient, across 160 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
$425$660$1,070$6,604$12,090

The most expensive tenth of hospitals charges at least 28× what the cheapest tenth charges ($425 vs $12,090).

Of the 173 hospitals that filed this code inpatient, 160 gave a usable cash price; 10 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 3 a list price only.

How complete is this

284 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 313 hospitals that filed this code at all gave us
Usable cash price — counted284
Cash price carrying a plausibility flag — shown on the compare tool, excluded here20
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 — excluded5
Hospitals that filed this code313

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 PR Lap,Ligation Spermatic Veins.

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, “Keyhole surgery to tie off spermatic veins for varicocele (CPT 55550) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-55550-keyhole-surgery-to-tie-off-spermatic-veins-for-varicocele