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Kidney stone removal (ureteroscopy with laser) in District of Columbia: what insurers pay

Posted commercial rates at 3 District of Columbia hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 52356

HospitalMedian across insurers× MedicareInsurersFile date
George Washington Univ Hospital Washington$5,2920.8×32026-09-01

MS-DRG 661

HospitalMedian across insurers× MedicareInsurersFile date
George Washington Univ Hospital Washington$18,8262.1×32026-09-01
Medstar Washington Hospital Center Washington$21,8012.5×52026-04-01
Medstar Georgetown University Hospital Washington$24,5162.8×42026-04-01

MS-DRG 660

HospitalMedian across insurers× MedicareInsurersFile date
George Washington Univ Hospital Washington$24,0312.1×32026-09-01
Medstar Washington Hospital Center Washington$27,8302.5×52026-04-01
Medstar Georgetown University Hospital Washington$31,2952.8×42026-04-01

Questions

How much do insurers pay for kidney stone removal (ureteroscopy with laser) in District of Columbia?

3 District of Columbia hospitals post usable commercial rates for kidney stone removal (ureteroscopy with laser) in their federal price-transparency files. For CPT 52356, hospital outpatient, the median across 1 hospital is $5,292, 0.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.