CPT 54840 · 1,099 hospitals reporting

Removal of fluid accumulation in sperm reservoir

The same procedure costs $187 at one hospital and $21,003 at another — a 113× spread for what's billed under the same code. Median: $2,403.

Cheapest published

$187

5 entries below $50 already filtered. Remaining low values usually reflect partial-cost line items (professional fee only), not full bills.

Median across 1,099 hospitals

$2,403

The realistic middle of the cash-price distribution. Use this as your benchmark.

Most expensive

$21,003

Highest published price. Often a gross-charge "list price" rarely actually paid.

Price distribution

258 hospitals · log-scale x-axis

Each bar = number of hospitals charging in that price range. Emerald bar contains the median. Amber dots = entries we flagged as likely partial-cost line items (excluded from the table below).

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Why some prices look unrealistically low or high

Hospitals publish their machine-readable files (MRFs) the way they choose. A single procedure code can appear with very different prices depending on what's being charged:

Global price — facility + implant + anesthesia + surgeon. This is what you'd actually be billed.
Professional fee only — surgeon's portion. Often $500–$2,500 for a major procedure that costs $20K+ globally.
Facility fee only — operating room and recovery, no implant or surgeon.
Per-unit / per-minute charges — e.g. anesthesia time billed at $0.68/min appearing under a CPT code.
Rate multipliers — values like 0.85 meaning "85% of Medicare" rather than dollars.

We filter the most obvious artifacts (under $50, or 25× above the median), but rows in the $500–$2K range for a major procedure are typically professional-only and we can't always tell. Use the median and high-end as the realistic range; treat very low rows as partial-cost line items, not full bills.

500 hospitals reporting

Hospital	State	Gross	Cash price	Min negotiated	Max negotiated	Your insurer
JEFFERSON EINSTEIN PHILADELPHIA HOSPITAL	PA	—	$2,402	—	—	5 insurers
JEFFERSON EINSTEIN MONTGOMERY HOSPITAL	PA	—	$2,402	—	—	5 insurers
THOMAS HOSPITAL	AL	$4,809	$2,404	—	—	5 insurers
SAINT MICHAEL'S MEDICAL CENTER	NJ	$30,780	$2,424	$21.83	$24,624	5 insurers
MAUI MEMORIAL MEDICAL CENTER	HI	$6,080	$2,371	—	—	3 insurers
THREE RIVERS HOSPITAL	WA	$2,334	$2,334	—	—	4 insurers
MISSION COMMUNITY HOSPITAL	CA	$3,803	$2,472	—	—	5 insurers
SEQUOYAH COUNTY-CITY OF SALLISAW HOSPITAL AUTHORIT	OK	$3,106	$2,330	—	—	5 insurers
NORTH ALABAMA MEDICAL CENTER	AL	$7,088	$2,481	—	—	2 insurers
NORTH ALABAMA SHOALS HOSPITAL	AL	$7,088	$2,481	—	—	2 insurers
CAMPBELL COUNTY HEALTH	WY	$2,246	$2,246	—	—	0 insurers
ST JOSEPH MEDICAL CENTER	WA	$12,452	$2,229	$320	$12,452	5 insurers
MONTEFIORE ST LUKE'S CORNWALL	NY	—	$2,609	—	—	5 insurers
BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK	AR	$10,582	$2,646	—	—	5 insurers
RIVERSIDE MEDICAL CENTER	IL	$10,000	$2,662	—	—	5 insurers
CHINO VALLEY MEDICAL CENTER	CA	$13,509	$2,675	$427	$13,509	5 insurers
DESERT VALLEY HOSPITAL	CA	$3,639	$2,675	$427	$3,639	5 insurers
SHASTA REGIONAL MEDICAL CENTER	CA	$17,925	$2,675	$427	$17,925	5 insurers
HOULTON REGIONAL HOSPITAL	ME	$2,233	$2,121	—	—	5 insurers
UNITYPOINT HEALTH - MERITER	WI	$2,638	$2,110	—	—	5 insurers
BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK	AR	$10,836	$2,709	—	—	5 insurers
MISSION REGIONAL MEDICAL CENTER	TX	$14,000	$2,089	$706	$11,200	5 insurers
HARLINGEN MEDICAL CENTER	TX	$20,329	$2,089	$1,025	$16,263	5 insurers
SOUTHERN REGIONAL MEDICAL CENTER	GA	$6,756	$2,086	$640	$6,756	5 insurers
GARDEN CITY HOSPITAL	MI	$9,607	$2,073	$1,111	$9,607	5 insurers
TRIGG COUNTY HOSPITAL	KY	$5,134	$2,054	—	—	5 insurers
O U MEDICAL CENTER	OK	$28,245	$2,825	$1,687	$23,161	5 insurers
COSHOCTON REGIONAL MEDICAL CENTER	OH	$2,000	$1,967	$600	$2,000	5 insurers
MISSOURI DELTA MEDICAL CENTER	MO	$7,701	$1,925	—	—	5 insurers
SOUTH CENTRAL REG MED CTR	MS	$4,486	$1,884	—	—	3 insurers
SOUTH CENTRAL HEALTH	ND	$4,486	$1,884	—	—	3 insurers
MOUNTAIN VIEW HOSPITAL	ID	$2,575	$1,803	$1,931	$5,618	5 insurers
IDAHO FALLS COMMUNITY HOSPITAL, LLC	ID	$2,575	$1,803	$1,639	$4,784	4 insurers
SURGICAL INSTITUTE OF READING	PA	$11,446	$3,016	$329	$535,673	5 insurers
University of Arkansas Medical Sciences	AR	$5,070	$3,042	—	—	5 insurers
TERREBONNE GENERAL MEDICAL CENTER - PARISH	LA	$4,581	$3,101	$255	$4,352	5 insurers
PHYSICIANS MEDICAL CENTER	LA	$4,581	$3,101	$255	$4,352	5 insurers
BAXTER HEALTH	AR	$2,800	$1,680	—	—	3 insurers
BARAGA COUNTY MEMORIAL HOSPITAL	MI	$1,632	$1,632	—	—	0 insurers
TRINITY ROCK ISLAND	IL	$2,024	$1,619	—	—	4 insurers