CPT 54860 · 979 hospitals reporting

Removal of sperm reservoir

The same procedure costs $205 at one hospital and $24,929 at another — a 122× spread for what's billed under the same code. Median: $1,999.

Cheapest published

$205

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

Median across 979 hospitals

$1,999

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

Most expensive

$24,929

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

Price distribution

148 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
TRIGG COUNTY HOSPITAL	KY	$5,134	$2,054	—	—	5 insurers
BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK	AR	$7,777	$1,944	—	—	5 insurers
BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK	AR	$8,251	$2,063	—	—	5 insurers
MEMORIAL HOSPITAL SWEETWATER COUNTY	WY	$1,931	$1,931	—	—	5 insurers
ANNIE JEFFREY MEMORIAL COUNTY HEALTH CENTER	NE	$2,000	$1,920	—	—	0 insurers
CITIZENS MEDICAL CENTER	TX	$4,347	$2,174	—	—	5 insurers
BAPTIST HEALTH MEDICAL CENTER- CONWAY	AR	$8,769	$2,192	—	—	5 insurers
MOUNTAIN VIEW HOSPITAL	ID	$2,472	$1,730	$1,854	$5,618	5 insurers
IDAHO FALLS COMMUNITY HOSPITAL, LLC	ID	$2,472	$1,730	$1,639	$4,784	4 insurers
THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY	NY	$1,724	$1,724	—	—	5 insurers
PAMPA REGIONAL MEDICAL CENTER	TX	$8,761	$1,664	$1,258	$7,009	5 insurers
BAYLOR MEDICAL CENTER AT TROPHY CLUB	TX	$2,687	$1,612	$1,478	$8,427	5 insurers
VIRGINIA MASON MEDICAL CENTER	WA	$4,772	$2,434	—	—	4 insurers
BOZEMAN HEALTH DEACONESS HOSPITAL	MT	$1,938	$1,550	$398	$3,842	5 insurers
BOZEMAN HEALTH BIG SKY MEDICAL CENTER	MT	$1,938	$1,550	$398	$3,842	5 insurers
MISSION COMMUNITY HOSPITAL	CA	$3,803	$2,472	—	—	5 insurers
CARLE RICHLAND MEMORIAL HOSPITAL	IL	$1,491	$1,491	—	—	4 insurers
BAYLOR SCOTT AND WHITE SURGICAL HOSPITAL FORTWORTH	TX	$2,418	$1,451	$1,330	$8,427	5 insurers
THE CHILDREN'S HOSPITAL OF ALABAMA	AL	$3,306	$1,422	—	—	5 insurers
OKLAHOMA STATE UNIVERSITY MEDICAL CENTER	OK	$14,147	$1,415	—	—	5 insurers
TOPS SURGICAL SPECIALTY HOSPITAL	TX	$3,838	$1,343	$1	$5,747	5 insurers
ESKENAZI HEALTH	IN	$1,300	$1,300	—	—	5 insurers
ESKENAZI HEALTH	IN	$1,300	$1,300	—	—	5 insurers
ESKENAZI HEALTH	IN	$1,300	$1,300	—	—	5 insurers
FLUSHING HOSPITAL MEDICAL CENTER	NY	$1,270	$1,270	—	—	5 insurers
CENTRAL VERMONT MEDICAL CENTER	VT	$1,236	$1,236	—	—	5 insurers
CHESHIRE MEDICAL CENTER	NH	$4,298	$1,186	—	—	5 insurers
BROADLAWNS MEDICAL CENTER	IA	$1,177	$1,177	—	—	5 insurers
ALTRU HOSPITAL	ND	$1,892	$1,154	—	—	0 insurers
SAUK PRAIRIE HOSPITAL	WI	$2,029	$1,110	—	—	4 insurers
TRINITY ROCK ISLAND	IL	$1,318	$1,054	—	—	4 insurers
UNITYPOINT HEALTH - MARSHALLTOWN	IA	$1,318	$1,054	—	—	5 insurers
TRINITY MUSCATINE	IA	$1,318	$1,054	—	—	3 insurers
TRINITY REGIONAL MEDICAL CENTER	IA	$1,318	$1,054	—	—	3 insurers
ST LUKES HOSPITAL	IA	$1,318	$1,054	—	—	3 insurers
UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI	IA	$1,318	$1,054	—	—	3 insurers
TRINITY - BETTENDORF	IA	$1,318	$1,054	—	—	4 insurers
ALLEN HOSPITAL	IA	$1,318	$1,054	—	—	4 insurers
FINLEY HOSPITAL	IA	$1,318	$1,054	—	—	5 insurers
ST LUKES REGIONAL MEDICAL CENTER	IA	$1,318	$1,054	—	—	3 insurers