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Based on public Medicaid payment data.

Average Medicaid Circumcision Payments

Typical Medicaid Circumcision reimbursement across 782 cities

Avg. Medicaid Paid

$216.67

Price Range

$0.00 – $2,239

Total Claims

460.9K

Cities

782

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.

About This Procedure

Circumcision is the surgical removal of the foreskin covering the tip of the penis. Most commonly performed on newborns.

Why do these costs look low?

These figures represent Medicaid reimbursement rates — the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.

Costs by City

City Avg. Paid Min / Max Claims Providers
Flower Mound, TX $73.83 $72.98 – $74.35 1,563 2
Akron, OH $895.97 $44.55 – $1,604 1,565 8
Colorado Springs, CO $48.23 $13.73 – $2,855 1,571 13
Rapid City, SD $138.87 $138.41 – $142.31 1,572 2
Clinton Twp, MI $52.62 $52.59 – $57.32 1,576 2
Lubbock, TX $119.92 $59.61 – $801.67 1,601 7
Newark, OH $46.74 $46.68 – $47.75 1,632 3
Greenville, SC $74.57 $27.03 – $112.97 1,655 18
Norton Shores, MI $56.03 $56.03 – $56.03 1,679 1
Charleston, WV $77.40 $62.04 – $899.33 1,741 4
Boston, MA $1,215 $65.73 – $1,943 1,773 17
Denver, CO $39.38 $13.74 – $77.05 1,835 9
New Iberia, LA $127.95 $121.54 – $139.59 1,859 3
Elizabeth, NJ $111.95 $111.95 – $111.95 1,953 1
Rockford, IL $90.45 $76.76 – $95.11 1,956 6
Washington, DC $623.43 $38.42 – $2,667 1,969 17
Corpus Christi, TX $106.63 $58.09 – $166.79 2,022 8
Germantown, TN $348.82 $213.40 – $350.85 2,025 2
Boynton Beach, FL $201.27 $80.94 – $290.55 2,066 5
Jackson, MS $1,127 $136.83 – $1,205 2,131 2
Lafayette, IN $102.78 $99.27 – $164.26 2,150 3
Jackson, MI $56.75 $56.75 – $56.75 2,247 1
Mobile, AL $147.98 $97.62 – $283.21 2,270 14
Orange, CA $105.01 $18.26 – $204.78 2,281 7
Seattle, WA $801.56 $11.94 – $1,034 2,318 11
Richmond, VA $481.20 $37.42 – $1,679 2,389 10
Philadelphia, PA $149.41 $79.95 – $3,635 2,391 23
Loma Linda, CA $164.98 $52.30 – $166.89 2,429 5
Fort Smith, AR $142.23 $138.88 – $178.46 2,485 5
Bronx, NY $888.04 $99.39 – $1,254 2,490 7
Charleston, SC $149.77 $50.44 – $806.18 2,656 13
Newark, DE $54.16 $0.00 – $66.61 2,697 5
Jackson, TN $163.65 $152.07 – $193.62 2,748 7
Florence, SC $79.30 $74.45 – $88.12 2,795 4
Dearborn, MI $56.67 $51.57 – $57.56 2,824 5
Oklahoma City, OK $183.47 $17.46 – $672.77 2,824 24
New York, NY $447.55 $42.86 – $1,090 2,851 22
Tulsa, OK $215.26 $73.63 – $996.74 2,940 17
Albuquerque, NM $201.19 $74.83 – $1,451 3,005 12
Pleasant View, TN $101.99 $101.99 – $101.99 3,009 1
Pensacola, FL $114.84 $31.69 – $341.61 3,018 8
Amarillo, TX $81.03 $75.29 – $85.58 3,046 4
Dallas, TX $176.95 $56.93 – $1,207 3,053 23
Jacksonville, FL $835.19 $27.96 – $1,533 3,167 12
Knoxville, TN $175.63 $129.96 – $382.81 3,204 12
Sioux Falls, SD $131.72 $102.38 – $363.36 3,251 5
Hartford, CT $485.85 $53.16 – $1,355 3,289 10
Brooklyn, NY $732.06 $75.23 – $1,523 3,485 15
Little Rock, AR $170.27 $129.85 – $283.56 3,498 18
Chicago, IL $91.75 $69.48 – $167.68 3,569 20

Cost Components

National averages for each billing code in this procedure category. Sorted by claim volume.

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 averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.