Payer comparison · CPT 54405 · DEKALB, IL

54405 — Insert Multi-comp Penis Pros

What each payer pays NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL (CCN 140286) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$95,588 All-payer median here

$114,771 Cash / self-pay here

24 payer/plan-name variants

← This hospital National rates for 54405 →

Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan	Median negotiated	vs all-payer median	Rate rows

OPTUM/UNITED BEHAVIORAL HEALTH [157]	$163,959	71.5%	1
MULTIPLAN/PHCS [142]	$145,924	52.7%	2
COVENTRY [1218]	$141,005	47.5%	1
FIRST HEALTH PLAN [6034]	$141,005	47.5%	1
COVENTRYONE PPO [17110]	$141,005	47.5%	1
CHOICECARE [177]	$123,953	29.7%	1
HEALTHLINK PPO	$122,969	28.6%	1
ALTERNATE BLUE CROSS [1402]	$113,107	18.3%	2
HEALTH'S FINEST NETWORK [126]	$112,312	17.5%	2
UNITED HEALTHCARE [158]	$107,312	12.3%	3
THE ALLIANCE [1703]	$103,689	8.5%	1
BLUE CROSS BLUE SHIELD [1401]	$95,588	0.0%	7
CIGNA HEALTH PLAN [178]	$84,853	-11.2%	2
AETNA HEALTH PLAN [171]	$84,685	-11.4%	6
HEALTH ALLIANCE MEDICAID [1310]	$21,684	-77.3%	1
COUNTYCARE IL COOK CO [1607]	$21,684	-77.3%	1
MERIDIAN HEALTH PLAN HMO [1604]	$21,684	-77.3%	1
BLUE CROSS MEDICAID [1612]	$21,684	-77.3%	1
CIGNA HEALTHSPRING SPECIALCARE OF IL [1608]	$21,684	-77.3%	1
FAMILY HEALTH NETWORK HMO [1610]	$21,684	-77.3%	1
CENPATICO BEHAVIORAL HEALTH [1603]	$21,684	-77.3%	1
ALTERNATE BLUE CROSS MEDICARE ADV [2304]	$18,855	-80.3%	1
ALTERNATE HUMANA MEDICARE ADV [2409]	$18,855	-80.3%	1
GLOBAL EXCEL [1712]	$18,855	-80.3%	1

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.