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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 β€” 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
Waterbury, CT $56.43 $56.43 – $56.43 37 1
Natchitoches, LA $130.37 $130.37 – $130.37 37 1
North Chesterfield, VA $51.73 $41.91 – $66.14 37 2
Crestview Hills, KY $74.33 $74.33 – $74.33 37 1
Cottonwood, AZ $53.70 $53.70 – $53.70 38 1
Olympia Fields, IL $20.39 $20.39 – $20.39 38 1
Spring Hill, FL $111.01 $111.01 – $111.01 38 1
Roswell, NM $95.91 $95.91 – $95.91 39 1
Garden City, MI $56.63 $56.63 – $56.63 39 1
Madison, WI $40.34 $30.31 – $51.75 39 3
Oregon, OH $48.04 $48.04 – $48.04 39 1
Cadillac, MI $57.34 $57.34 – $57.34 39 1
Tigard, OR $142.13 $142.13 – $142.13 40 1
Evansville, IN $100.03 $90.97 – $121.17 40 2
Hyannis, MA $75.06 $75.06 – $75.06 40 1
Athens, GA $72.23 $60.63 – $96.32 40 2
Cranston, RI $42.89 $42.89 – $42.89 40 1
Palestine, TX $75.63 $75.63 – $75.63 40 1
Norwalk, OH $45.86 $45.86 – $45.86 40 1
Sandusky, OH $44.57 $44.57 – $44.57 40 1
Cheverly, MD $76.26 $76.26 – $76.26 40 1
Crystal Lake, IL $66.35 $66.35 – $66.35 41 1
Laredo, TX $61.99 $61.99 – $61.99 41 1
Monroe, NC $71.83 $71.83 – $71.83 41 1
Mt Pleasant, TX $92.41 $92.41 – $92.41 41 1
Mount Airy, NC $88.26 $88.26 – $88.26 41 1
Searcy, AR $183.13 $172.57 – $197.22 42 3
Hartsville, SC $84.37 $84.37 – $84.37 42 1
Warner Robins, GA $94.24 $94.24 – $94.24 42 1
Mckinney, TX $175.97 $175.97 – $175.97 42 1
Muncie, IN $235.26 $172.00 – $259.74 43 2
Winchester, TN $172.93 $166.73 – $188.96 43 2
Bellevue, WA $74.45 $74.45 – $74.45 43 1
Sugarland, TX $80.06 $80.06 – $80.06 44 1
Lake Charles, LA $117.93 $110.26 – $137.82 44 3
Wauwatosa, WI $74.94 $62.60 – $90.07 45 3
Camp Hill, PA $80.59 $80.59 – $80.59 46 1
Springfield, IL $87.19 $77.50 – $98.35 46 3
Morristown, NJ $819.23 $819.23 – $819.23 46 1
Saint Albans, WV $120.38 $120.38 – $120.38 46 1
Arlington, VA $39.78 $39.07 – $40.14 47 2
Bryn Mawr, PA $104.62 $104.62 – $104.62 47 1
Jacksonville Beach, FL $76.88 $76.88 – $76.88 48 1
Laurinburg, NC $96.06 $87.53 – $117.38 49 2
Deland, FL $53.88 $53.88 – $53.88 49 1
Brookhaven, MS $0.00 $0.00 – $0.00 49 1
Trenton, MI $59.52 $59.52 – $59.52 51 1
Whitesburg, KY $68.17 $67.35 – $70.81 51 2
Pasadena, CA $45.23 $45.23 – $45.23 51 1
Hobbs, NM $95.97 $92.55 – $97.12 52 2

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.