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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
Newark, DE $54.16 $0.00 – $66.61 2,697 5
Charleston, SC $149.77 $50.44 – $806.18 2,656 13
Bronx, NY $888.04 $99.39 – $1,254 2,490 7
Fort Smith, AR $142.23 $138.88 – $178.46 2,485 5
Loma Linda, CA $164.98 $52.30 – $166.89 2,429 5
Philadelphia, PA $149.41 $79.95 – $3,635 2,391 23
Richmond, VA $481.20 $37.42 – $1,679 2,389 10
Seattle, WA $801.56 $11.94 – $1,034 2,318 11
Orange, CA $105.01 $18.26 – $204.78 2,281 7
Mobile, AL $147.98 $97.62 – $283.21 2,270 14
Jackson, MI $56.75 $56.75 – $56.75 2,247 1
Lafayette, IN $102.78 $99.27 – $164.26 2,150 3
Jackson, MS $1,127 $136.83 – $1,205 2,131 2
Boynton Beach, FL $201.27 $80.94 – $290.55 2,066 5
Germantown, TN $348.82 $213.40 – $350.85 2,025 2
Corpus Christi, TX $106.63 $58.09 – $166.79 2,022 8
Washington, DC $623.43 $38.42 – $2,667 1,969 17
Rockford, IL $90.45 $76.76 – $95.11 1,956 6
Elizabeth, NJ $111.95 $111.95 – $111.95 1,953 1
New Iberia, LA $127.95 $121.54 – $139.59 1,859 3
Denver, CO $39.38 $13.74 – $77.05 1,835 9
Boston, MA $1,215 $65.73 – $1,943 1,773 17
Charleston, WV $77.40 $62.04 – $899.33 1,741 4
Norton Shores, MI $56.03 $56.03 – $56.03 1,679 1
Greenville, SC $74.57 $27.03 – $112.97 1,655 18
Newark, OH $46.74 $46.68 – $47.75 1,632 3
Lubbock, TX $119.92 $59.61 – $801.67 1,601 7
Clinton Twp, MI $52.62 $52.59 – $57.32 1,576 2
Rapid City, SD $138.87 $138.41 – $142.31 1,572 2
Colorado Springs, CO $48.23 $13.73 – $2,855 1,571 13
Akron, OH $895.97 $44.55 – $1,604 1,565 8
Flower Mound, TX $73.83 $72.98 – $74.35 1,563 2
Des Moines, IA $92.52 $86.21 – $104.55 1,559 10
Beaumont, TX $75.56 $72.37 – $85.41 1,515 4
Huntsville, AL $128.64 $97.73 – $172.00 1,495 8
Wyoming, MI $70.25 $70.25 – $70.25 1,485 1
Miami, FL $576.13 $46.41 – $953.46 1,484 5
Temple, TX $70.78 $54.10 – $142.84 1,475 5
Marion, IL $70.17 $64.16 – $77.50 1,410 7
Anniston, AL $132.19 $129.00 – $134.98 1,410 3
Raleigh, NC $350.14 $26.21 – $533.02 1,349 7
Boyton Beach, FL $233.76 $233.76 – $233.76 1,332 1
Montgomery, AL $112.49 $39.69 – $167.90 1,331 14
Salt Lake City, UT $26.98 $13.64 – $114.83 1,328 3
Madisonville, KY $71.22 $62.92 – $71.41 1,327 2
Lake Orion, MI $57.21 $57.21 – $57.21 1,312 1
Aurora, CO $154.93 $16.92 – $654.26 1,280 15
Voorhees, NJ $233.35 $44.46 – $369.13 1,257 8
Kings Mountain, NC $139.64 $139.64 – $139.64 1,218 1
Morgantown, WV $63.37 $60.95 – $63.39 1,196 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.