Removal of one testicle, with or without implant at Samaritan Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR Orchiectomy Simple W/WO Testicular Prosth Scrotal/Inguinal Approach

Troy, NY

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How this price compares nationally

Samaritan Hospital’s median price of $834 is 77% below the median hospital's median price ($3.6k), higher than 17% of the 1,863 hospitals reporting CPT 54520. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 54520 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 34 payers, 141 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	Humana tricare professional · fee schedule · inpatient	$148	$148	—	—	—	$148 – $148
2	Humana tricare professional · fee schedule · outpatient	$148	$148	—	—	—	$148 – $148
3	Tricare tricare professional · fee schedule · inpatient	$148	$148	—	—	—	$148 – $148
4	Tricare tricare professional · fee schedule · outpatient	$148	$148	—	—	—	$148 – $148
5	Anthem empire medicaid facility · fee schedule · outpatient	$165	$165	$119	72%	—	$46 – $284
6	Excellus empire medicaid facility · fee schedule · outpatient	$165	$165	$119	72%	—	$46 – $284
7	Humana tricare professional · fee schedule · both	$186	$186	$37	20%	—	$148 – $223
8	Tricare tricare professional · fee schedule · both	$186	$186	$37	20%	—	$148 – $223
9	Aetna aetna medicare advantage professional · fee schedule · both	$206	$206	$41	20%	—	$165 – $248
10	Aetna aetna professional · fee schedule · both	$303	$303	$61	20%	—	$242 – $363
11	Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · outpatient	$350	$350	$252	72%	—	$98 – $602
12	Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · outpatient	$350	$350	$252	72%	—	$98 – $602
13	Aetna pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$720	$720	—	—	—	$720 – $720
14	Ambetter pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$720	$720	—	—	—	$720 – $720
15	Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$720	$720	—	—	—	$720 – $720
16	Anthem pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$720	$720	—	—	—	$720 – $720
17	Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$720	$720	—	—	—	$720 – $720
18	Carefirst pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$720	$720	—	—	—	$720 – $720
19	Caresource pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$720	$720	—	—	—	$720 – $720
20	Cigna pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$720	$720	—	—	—	$720 – $720
21	Clover pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$720	$720	—	—	—	$720 – $720
22	Devoted pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$720	$720	—	—	—	$720 – $720
23	Excellus pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$720	$720	—	—	—	$720 – $720
24	First Health pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$720	$720	—	—	—	$720 – $720
25	Highmark pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$720	$720	—	—	—	$720 – $720

Page 1 of 6 · 141 rates

Last updated: Mar 31, 2026

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