Price Checker / CPT 54401
How much does Insert Self-contd Prosthesis cost?
CPT 54401 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 44x the fair price — among the most extreme markups. Dispute this.
Fair price
$930–$1,850
What this should cost
With insurance
~$6,900
Typical out-of-pocket
Overcharged if over
$2,300
Push back above this
The average hospital charge of $60,843 is $59,443 over the fair price (about 44x the fair rate).
What hospitals charge for Insert Self-contd Prosthesis
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Westchester Medical Center Valhalla, NY | $424,288 | — | 51426% |
| Bon Secours Community Hospital Port Jervis, NY | $424,288 | — | 47991% |
| St. Anthony's Community Hospital Warwick, NY | $424,288 | — | 47991% |
| AllianceHealth Durant Durant, OK | $289,169 | — | 42041% |
| Southlake Specialty Hospital LLC Southlake, TX | — | — | 23678% |
| "MultiCare Mary Bridge Children's Hospital" , WA | — | — | 22196% |
| Lincoln Health Damariscotta, ME | — | — | 19394% |
| Lake Region Healthcare Hospital , MN | — | — | 17484% |
| Waldo County General Hospital Belfast, ME | — | — | 15914% |
| MultiCare Good Samaritan Hospital PUYALLUP, WA | — | — | 15105% |
| Stephens Memorial Hospital Norway, ME | — | — | 14895% |
| St. Anne Hospital , WA | — | — | 14774% |
| Franklin Memorial Hospital Farmington, ME | — | — | 14050% |
| SOUTHSIDE MEDICAL CENTER Petersburg, VA | $45,810 | — | 11838% |
| ST RITA'S MEDICAL CENTER Lima, OH | $97,596 | — | 11382% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Insert Self-contd Prosthesis
CPT code 54401 refers to insert self-contd prosthesis (billing description: "Insert self-contd prosthesis"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $618 in a facility (hospital or surgery center) and $618 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.