Average Medicaid Circumcision Payments in Portsmouth, OH: $38.27
Avg. Paid
$38.27
Range
$35.88 – $41.67
Total Claims
149
Providers
3
Typical Payment Range
Typical Medicaid Circumcision payments fall between $67.14 and $142.45 per claim (median: $90.07). The top 10% of payments exceed $222.06.
Based on per-provider averages across all Medicaid claims in this category.
Circumcision is the surgical removal of the foreskin covering the tip of the penis. Most commonly performed on newborns.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Circumcision in Portsmouth, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ryan Francis Sandlin
1729 27Th St |
$36.33 | 82 | 80 |
|
Darren Chad Adams
1735 27Th St Ste 202 |
$41.67 | 55 | 51 |
|
Arrika J Mains
1735 27Th St Ste 202 |
$35.88 | 12 | 12 |
What to Expect: Circumcision
Newborn circumcision takes about 10 minutes. The area is numbed with local anesthetic. A device is used to separate the foreskin from the tip of the penis, and the foreskin is cut away. The baby may be fussy during the procedure. Healing typically takes 7-10 days with proper care including petroleum jelly and gauze dressing changes.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 54150 | Circumcision clamp newborn | $100.38 | 360,897 | 2,028 |
| 54161 | Circumcision surgical >28 days | $591.70 | 125,102 | 389 |
| 54160 | Circumcision surgical newborn | $135.76 | 5,116 | 56 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Circumcision cost in Portsmouth, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Circumcision in Portsmouth, OH is $38.27 per claim, based on 149 claims from 3 providers. Typical payments fall between $67.14 and $142.45. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Circumcision in Portsmouth, OH?
There are 3 Medicaid providers offering Circumcision related services in Portsmouth, OH according to public payment data.
What is the price range for Circumcision in Portsmouth, OH?
Medicaid reimbursement for Circumcision in Portsmouth, OH ranges from $35.88 to $41.67 per claim, with an average of $38.27. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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