Payer comparison · HCPCS 54416 · ONEIDA, NY

54416 — Remv/repl Penis Contain Pros

What each payer pays ONEIDA HEALTH HOSPITAL (CCN 330115) 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.

$4,448 All-payer median here

$5,027 Cash / self-pay here

26 payer/plan-name variants

← This hospital National rates for 54416 →

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

MultiPlan	$15,685	252.6%	4
EmblemHealth	$15,685	252.6%	4
CASH	$15,173	241.1%	4
Aetna	$13,286	198.7%	4
Humana	$12,590	183.0%	4
POMCO Group	$12,062	171.2%	8
MCRCDPHP	$9,226	107.4%	4
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP)	$7,721	73.6%	8
FIDELIS CARE (CENTERCARE)	$5,794	30.3%	12
AMISH_ED	$5,263	18.3%	2
AMISH_ASU	$5,159	16.0%	2
MEDICAID_1402	$4,785	7.6%	2
Medicaid (Generic)	$4,690	5.4%	2
BLUE-CHP_1402	$4,493	1.0%	2
BLUE-MCD_1402	$4,493	1.0%	2
BLUE-SP_1402	$4,493	1.0%	2
UnitedHealthcare	$4,404	-1.0%	14
BLUE-SP_1401	$4,404	-1.0%	2
BLUE-MCD_1401	$4,404	-1.0%	2
MVP-MCD_1401	$4,404	-1.0%	2
BLUE-CHP_1401	$4,404	-1.0%	2
MEDICAID_1432	$4,362	-1.9%	2
MVP Health Care	$4,294	-3.5%	12
BLUE-CHP_1432	$4,096	-7.9%	2
BLUE-SP_1432	$4,096	-7.9%	2
BLUE-MCD_1432	$4,096	-7.9%	2

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.