Average Medicaid Circumcision Payments in Providence, RI: $119.64
Avg. Paid
$119.64
Range
$67.20 – $146.98
Total Claims
252
Providers
4
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 Providence, RI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Loretta M. Marion
355 Prairie Ave |
$146.98 | 163 | 155 |
|
Julia P Mayne
101 Dudley St |
$67.20 | 58 | 58 |
|
Kelleigh Elizabeth Briden
101 Dudley St |
$78.08 | 16 | 13 |
|
Lisa Grady
101 Dudley St |
$69.60 | 15 | 15 |
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 Providence, RI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Circumcision in Providence, RI is $119.64 per claim, based on 252 claims from 4 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 Providence, RI?
There are 4 Medicaid providers offering Circumcision related services in Providence, RI according to public payment data.
What is the price range for Circumcision in Providence, RI?
Medicaid reimbursement for Circumcision in Providence, RI ranges from $67.20 to $146.98 per claim, with an average of $119.64. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Circumcision in Other Cities
Detroit, MI
Avg $132.62
15,713 claims · 10 providers
Fort Worth, TX
Avg $87.99
13,684 claims · 28 providers
Charlotte, NC
Avg $223.30
11,030 claims · 13 providers
Las Vegas, NV
Avg $112.56
10,606 claims · 15 providers
Grand Rapids, MI
Avg $76.01
8,970 claims · 8 providers
Tampa, FL
Avg $266.78
8,751 claims · 15 providers
Sunrise, FL
Avg $56.59
7,677 claims · 2 providers
New Orleans, LA
Avg $139.34
6,712 claims · 16 providers
Other Procedures in Providence, RI
Personal Care Services
Avg $125.03
2,057,051 claims
Office Visit
Avg $73.05
1,843,254 claims
Emergency Room Visit
Avg $92.98
754,000 claims
Behavioral & Mental Health Therapy
Avg $129.47
740,415 claims
Dental Cleaning & Exam
Avg $30.60
677,431 claims
Case Management Services
Avg $18.33
599,589 claims
Psychiatric Evaluation
Avg $71.24
531,502 claims
Substance Abuse Treatment
Avg $47.48
496,940 claims