Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
PR SLITTING PREPUCE DORSAL/LAT SPX XCP NEWBORN
Plattsburgh, NY
See all hospitals reporting CPT 54001 →Price type
Champlain Valley Physicians Hospital Medical Center’s median price of $417 is 82% below the median hospital's median price ($2.3k), higher than 16% of the 1,842 hospitals reporting CPT 54001. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 38 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | UnitedHealthcare managed medicaid/essential plans professional · fee schedule · both | $130.14 | $130.14 | $130.14 – $130.14 |
| 2 | Aetna medicare advantage professional · fee schedule · both | $132.81 | $132.81 | $132.81 – $132.81 |
| 3 | Blue Cross Blue Shield managed medicaid aliessa professional · fee schedule · both | $132.81 | $132.81 | $132.81 – $132.81 |
| 4 | Blue Cross Blue Shield medicare advantage professional · fee schedule · both | $132.81 | $132.81 | $132.81 – $132.81 |
| 5 | Excellus medicare advantage professional · fee schedule · both | $132.81 | $132.81 | $132.81 – $132.81 |
| 6 | Humana tricare professional · fee schedule · both | $132.81 | $132.81 | $132.81 – $132.81 |
| 7 | Blue Cross Blue Shield essential plans/managed medicaid professional · fee schedule · both | $159.37 | $159.37 | $159.37 – $159.37 |
| 8 | UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both | $159.73 | $159.73 | $146.78 – $172.67 |
| 9 | Excellus managed medicaid/essential plans professional · fee schedule · both | $171.73 | $171.73 | $171.73 – $171.73 |
| 10 | Blue Cross Blue Shield blue access professional · fee schedule · both | $178.78 | $178.78 | $178.78 – $178.78 |
| 11 | Blue Cross Blue Shield hmo professional · fee schedule · both | $178.78 | $178.78 | $178.78 – $178.78 |
| 12 | Blue Cross Blue Shield ind professional · fee schedule · both | $178.78 | $178.78 | $178.78 – $178.78 |
| 13 | Blue Cross Blue Shield ppo professional · fee schedule · both | $178.78 | $178.78 | $178.78 – $178.78 |
| 14 | UnitedHealthcare medicare advantage professional · fee schedule · both | $185.91 | $185.91 | $185.91 – $185.91 |
| 15 | Aetna commercial professional · fee schedule · both | $203.20 | $203.20 | $203.20 – $203.20 |
| 16 | Blue Cross Blue Shield individual network professional · fee schedule · both | $212.50 | $212.50 | $212.50 – $212.50 |
| 17 | Highmark ind/fep professional · fee schedule · both | $214.20 | $214.20 | $214.20 – $214.20 |
| 18 | Highmark ppo/hmo professional · fee schedule · both | $214.20 | $214.20 | $214.20 – $214.20 |
| 19 | Excellus commercial professional · fee schedule · both | $295.32 | $295.32 | $295.32 – $295.32 |
| 20 | UnitedHealthcare commercial professional · fee schedule · both | $445.97 | $445.97 | $445.97 – $445.97 |
| 21 | Excellus managed medicaid/essential plans facility · fee schedule · outpatient | $1,289 | $1,289 | $1,289 – $1,289 |
| 22 | Excellus medicare advantage facility · fee schedule · outpatient | $2,366 | $2,366 | $2,366 – $2,366 |
| 23 | Humana tricare facility · fee schedule · outpatient | $2,378 | $2,378 | $2,378 – $2,378 |
| 24 | Aetna medicare advantage facility · fee schedule · outpatient | $2,503 | $2,503 | $2,503 – $2,503 |
| 25 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $2,503 | $2,503 | $2,503 – $2,503 |
Last updated: Apr 28, 2026
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