Price Checker / CPT 54512

How much does Excise Lesion Testis cost?

CPT 54512 · Based on 2026 Medicare rates and hospital-published pricing

Severe overcharge

The average hospital charge is around 11x the fair price — among the most extreme markups. Dispute this.

Fair price

$740–$1,450

What this should cost

With insurance

~$2,950

Typical out-of-pocket

Overcharged if over

$1,800

Push back above this

The average hospital charge of $12,114 is $11,014 over the fair price (about 11x the fair rate).

What hospitals charge for Excise Lesion Testis

From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.

HospitalGross ChargeCash Ratevs Medicare
Los Alamos Medical Center

LOS ALAMOS, NY

$12,1142371%

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About Excise Lesion Testis

CPT code 54512 refers to excise lesion testis (billing description: "Excise lesion testis"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $490 in a facility (hospital or surgery center) and $490 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

  1. 1Send us your billwe'll identify this code and compare it against the rates shown above.
  2. 2Get a dispute letterciting the Medicare rate and your hospital's own published pricing data.
  3. 3We negotiate for you25% of savings, no savings = no fee.

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