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Prostate removal (robotic): what insurers pay

Laparoscopic or robotic radical prostatectomy. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

Open the interactive explorerAll operations

CPT 55866: Laps Surg Prst8ect Rpbic Rad

87 hospitals in 31 markets. National Medicare rate $10,860, surgery center $5,120.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA1———$9,039–$9,039
Austin TX2———$8,077–$11,644
Boston MA7$13,489$14,846$16,710$9,911–$18,556
California (statewide)1———$16,949–$16,949
Chicago IL5$12,051$12,502$13,584$8,167–$24,759
Cleveland OH5$11,553$18,443$19,059$10,529–$21,772
Dallas-Fort Worth TX4———$16,062–$32,815
Denver CO7$9,903$10,166$17,471$9,648–$22,326
Detroit MI4———$11,318–$17,194
Georgia (statewide)1———$10,968–$10,968
Houston TX1———$12,992–$12,992
Kansas (statewide)1———$12,970–$12,970
Las Vegas NV2———$7,907–$13,415
Los Angeles CA2———$16,883–$32,948
Miami-Fort Lauderdale FL1———$13,020–$13,020
Nashville TN3———$6,165–$11,766
New York (statewide)1———$11,520–$11,520
New York City2———$16,741–$25,975
Ohio (statewide)1———$14,212–$14,212
Pennsylvania (statewide)1———$31,259–$31,259
Philadelphia PA5$9,751$11,308$11,366$9,384–$12,874
Phoenix AZ3———$11,605–$11,605
Portland OR6$23,631$23,631$37,884$23,631–$42,635
Richmond VA2———$15,419–$15,436
San Antonio TX1———$13,483–$13,483
San Francisco Bay Area CA3———$36,608–$43,398
Seattle-Tacoma WA6$34,446$35,612$40,750$28,348–$45,322
St. Louis MO2———$20,810–$21,638
Tampa FL2———$10,372–$17,846
Washington DC4———$11,365–$27,660
Wisconsin (statewide)1———$15,153–$15,153
HospitalMarketMedian across insurers× MedicareInsurersFile date
Ascension Saint Thomas Hospital (Midtown + West)Nashville TN$6,1650.6×12026-01-01
Henderson HospitalLas Vegas NV$7,9070.7×12026-09-01
Ascension Seton Medical Center AustinAustin TX$8,0770.8×12026-01-01
Endeavor Health Evanston HospitalChicago IL$8,1670.7×32026-04-01
Emory University HospitalAtlanta GA$9,0390.8×32026-04-01
Thomas Jefferson University HospitalPhiladelphia PA$9,3840.9×22026-09-15
TriStar StoneCrest Medical CenterNashville TN$9,5160.9×42026-09-01
HCA HealthONE Presbyterian/St. Luke'sDenver CO$9,6480.9×42026-09-01
HCA HealthONE SwedishDenver CO$9,6800.9×42026-09-01
Jefferson Stratford HospitalPhiladelphia PA$9,7510.8×32026-09-15
Beverly Hospital CorporationBoston MA$9,9110.8×22026-04-01
HCA HealthONE Sky RidgeDenver CO$10,1260.9×42026-09-01
Hca Healthone RoseDenver CO$10,1660.9×42026-09-01
Tampa General HospitalTampa FL$10,3720.9×22026-04-01
University Hospitals - Elyria Medical CenterCleveland OH$10,5291.1×22026-07-14
Emory Houston Hospital Warner RobinsGeorgia (statewide)$10,9681.2×22026-04-01
Riddle Memorial HospitalPhiladelphia PA$11,3081.0×22026-04-01
Harper University HospitalDetroit MI$11,3181.1×12026-09-02
George Washington Univ HospitalWashington DC$11,3650.9×12026-09-01
Bryn Mawr HospitalPhiladelphia PA$11,3661.0×22026-04-01
Stony Brook University HospitalNew York (statewide)$11,5200.9×42026-06-10
Cleveland Clinic (main campus)Cleveland OH$11,5531.1×12026-06-16
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$11,6051.0×22026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$11,6051.0×22026-04-01
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$11,6051.0×22026-04-01
St David's Medical CenterAustin TX$11,6441.1×52026-09-01
Vanderbilt University Medical CenterNashville TN$11,7661.1×62025-10-01
Endeavor Health Northwest Community HospitalChicago IL$12,0511.1×22026-04-01
Endeavor Health Edward HospitalChicago IL$12,5021.1×22026-04-01
UCHealth University of Colorado HospitalDenver CO$12,6161.1×32025-11-01
Inspira Medical Center Mullica HillPhiladelphia PA$12,8741.1×12026-03-24
Menorah Medical CenterKansas (statewide)$12,9701.3×52026-09-01
Houston Methodist HospitalHouston TX$12,9921.2×42026-04-01
Cleveland Clinic HospitalMiami-Fort Lauderdale FL$13,0201.2×22026-06-15
Winchester HospitalBoston MA$13,0741.0×22026-04-01
University Medical Center of Southern NevadaLas Vegas NV$13,4151.2×72026-07-01
Methodist HospitalSan Antonio TX$13,4831.3×42026-09-01
Endeavor Health Elmhurst HospitalChicago IL$13,5841.2×22026-04-01
New England Baptist HospitalBoston MA$13,9041.1×32026-04-01
Bethesda NorthOhio (statewide)$14,2121.4×42026-04-01
Trinity Health Oakland HospitalDetroit MI$14,6051.4×162026-03-31
Beth Israel Deaconess Hospital - PlymouthBoston MA$14,8461.2×12026-04-01
Orthopaedic Hospital Of WisconsinWisconsin (statewide)$15,1531.4×32026-01-01
Henrico Doctors' HospitalRichmond VA$15,4191.5×42026-09-01
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$15,4361.5×42026-09-01
Mclaren Port HuronDetroit MI$15,9541.5×12025-12-31
Baylor University Medical CenterDallas-Fort Worth TX$16,0621.5×32026-06-29
Anna Jaques HospitalBoston MA$16,3241.3×22026-04-01
Reston Hospital CenterWashington DC$16,7041.5×32026-09-01
Stonesprings Hospital CenterWashington DC$16,7041.5×32026-09-01
Montefiore Medical CenterNew York City$16,7411.3×72026-04-01
Keck Hospital Of UscLos Angeles CA$16,8831.2×52026-04-01
Los Robles Hospital & Medical CenterCalifornia (statewide)$16,9491.2×52026-09-01
Lahey Hospital & Medical Center, BurlingtonBoston MA$17,0951.3×12026-04-01
Medical City PlanoDallas-Fort Worth TX$17,1861.6×52026-09-01
Medical City MckinneyDallas-Fort Worth TX$17,1861.6×52026-09-01
Henry Ford Health Rochester HospitalDetroit MI$17,1941.6×12026-01-01
Morton Plant HospitalTampa FL$17,8461.6×22026-01-01
Cleveland Clinic Hillcrest HospitalCleveland OH$18,4431.8×22026-06-15
Beth Israel Deaconess Medical CenterBoston MA$18,5561.5×12026-04-01
Medina HospitalCleveland OH$19,0591.9×12026-06-15
Mercy Hospital St LouisSt. Louis MO$20,8101.9×32026-06-04
Mercy Hospital SouthSt. Louis MO$21,6382.0×32026-06-10
Cleveland Clinic Lutheran HospitalCleveland OH$21,7722.2×12026-06-15
Adventhealth PorterDenver CO$22,3262.0×22026-04-01
Adventhealth ParkerDenver CO$22,3262.0×22026-04-01
Legacy Emanuel Medical CenterPortland OR$23,6312.0×52026-04-01
Legacy Good Samaritan Medical CenterPortland OR$23,6312.0×52026-04-01
Legacy Mount Hood Medical CenterPortland OR$23,6312.0×52026-04-01
Legacy Meridian Park Medical CenterPortland OR$23,6312.0×52026-04-01
University of Chicago Medical CenterChicago IL$24,7592.2×22026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$25,9752.0×72026-01-01
Inova Alexandria HospitalWashington DC$27,6602.5×22026-04-01
Overlake Hospital Medical CenterSeattle-Tacoma WA$28,3482.3×52026-04-01
Lehigh Valley HospitalPennsylvania (statewide)$31,2592.9×72026-07-01
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$32,8153.1×22026-04-21
Cedars-Sinai Medical CenterLos Angeles CA$32,9482.4×32025-11-26
St Clare HospitalSeattle-Tacoma WA$34,4462.8×52026-02-28
St Anthony HospitalSeattle-Tacoma WA$34,4462.8×52026-02-28
Stanford Health CareSan Francisco Bay Area CA$36,6082.3×42026-04-01
Swedish Medical CenterSeattle-Tacoma WA$36,7793.0×52026-04-01
John Muir Medical Center - Concord CampusSan Francisco Bay Area CA$39,0722.6×62026-03-23
Tacoma General Allenmore HospitalSeattle-Tacoma WA$42,0743.4×52026-08-27
Providence St Vincent Medical CenterPortland OR$42,6353.6×22026-04-01
Providence Portland Medical CenterPortland OR$42,6353.6×22026-04-01
John Muir Medical Center - Walnut Creek CampusSan Francisco Bay Area CA$43,3982.9×22026-03-23
Multicare Good Samaritan HospitalSeattle-Tacoma WA$45,3223.6×42026-08-27

MS-DRG 708: Major Male Pelvic Procedures Without Cc/McC

123 hospitals in 38 markets. National Medicare rate $11,164.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA4———$26,751–$30,498
Austin TX2———$9,990–$12,867
Boston MA7$13,636$14,191$15,816$11,525–$22,361
California (statewide)1———$19,416–$19,416
Charlotte NC2———$24,590–$29,992
Chicago IL7$17,137$20,692$22,719$14,079–$28,536
Cleveland OH5$17,270$17,927$21,085$13,546–$23,080
Columbus OH1———$34,029–$34,029
Dallas-Fort Worth TX4———$20,479–$32,064
Denver CO7$13,047$13,772$27,190$12,495–$32,293
Detroit MI7$21,491$26,150$32,630$21,491–$34,385
Florida (statewide)1———$43,000–$43,000
Georgia (statewide)1———$29,387–$29,387
Houston TX1———$25,400–$25,400
Indianapolis IN3———$15,520–$22,283
Kansas (statewide)1———$16,692–$16,692
Las Vegas NV1———$16,408–$16,408
Los Angeles CA2———$28,772–$46,962
Miami-Fort Lauderdale FL2———$18,640–$18,739
Minneapolis-St. Paul MN6$23,367$24,631$25,654$18,625–$28,940
Nashville TN4———$13,285–$26,921
New York (statewide)1———$33,011–$33,011
New York City2———$14,574–$49,237
Ohio (statewide)1———$26,836–$26,836
Pennsylvania (statewide)1———$29,948–$29,948
Philadelphia PA5$26,531$28,774$37,601$24,322–$41,733
Phoenix AZ3———$25,537–$27,136
Pittsburgh PA1———$36,792–$36,792
Portland OR6$32,404$33,402$37,440$32,104–$38,599
Research Triangle NC5$14,042$18,108$19,093$13,532–$21,689
Richmond VA4———$21,876–$36,913
Salt Lake City UT3———$25,927–$26,963
San Antonio TX1———$15,459–$15,459
San Diego CA1———$17,584–$17,584
Seattle-Tacoma WA6$33,572$33,648$33,724$29,694–$42,066
St. Louis MO4———$7,840–$33,005
Tampa FL4———$29,958–$36,466
Washington DC6$22,575$28,480$31,494$20,802–$36,327
HospitalMarketMedian across insurers× MedicareInsurersFile date
Mercy Hospital SouthSt. Louis MO$7,8400.7×12026-06-10
Ascension Seton Medical Center AustinAustin TX$9,9900.9×12026-01-01
Anna Jaques HospitalBoston MA$11,5250.9×12026-04-01
HCA HealthONE SwedishDenver CO$12,4951.1×52026-09-01
Hca Healthone RoseDenver CO$12,8661.1×52026-09-01
St David's Medical CenterAustin TX$12,8671.2×52026-09-01
Beth Israel Deaconess Hospital - PlymouthBoston MA$13,0811.0×12026-04-01
HCA HealthONE Sky RidgeDenver CO$13,2281.1×52026-09-01
TriStar StoneCrest Medical CenterNashville TN$13,2851.3×72026-09-01
North Carolina Specialty HospitalResearch Triangle NC$13,5321.3×22026-02-25
Cleveland Clinic Hillcrest HospitalCleveland OH$13,5461.3×42026-06-15
HCA HealthONE Presbyterian/St. Luke'sDenver CO$13,7721.2×52026-09-01
Duke Regional HospitalResearch Triangle NC$14,0421.3×42026-04-01
Endeavor Health Northwest Community HospitalChicago IL$14,0791.2×32026-04-01
Beverly Hospital CorporationBoston MA$14,1911.1×12026-04-01
Winchester HospitalBoston MA$14,1911.1×12026-04-01
Montefiore Medical CenterNew York City$14,5741.1×12026-04-01
Ascension Saint Thomas RutherfordNashville TN$15,2391.5×62026-01-01
Ascension Saint Thomas Hospital (Midtown + West)Nashville TN$15,2391.5×72026-01-01
Beth Israel Deaconess Medical CenterBoston MA$15,2781.1×22026-04-01
Methodist HospitalSan Antonio TX$15,4591.4×42026-09-01
Ascension St Vincent CarmelIndianapolis IN$15,5201.3×52026-01-01
Ascension St Vincent AndersonIndianapolis IN$15,8941.4×52026-01-01
Endeavor Health Edward HospitalChicago IL$16,2521.4×32026-04-01
New England Baptist HospitalBoston MA$16,3551.2×32026-04-01
University Medical Center of Southern NevadaLas Vegas NV$16,4081.4×22026-07-01
Menorah Medical CenterKansas (statewide)$16,6921.6×62026-09-01
University Hospitals - Elyria Medical CenterCleveland OH$17,2701.7×32026-07-14
Scripps Green HospitalSan Diego CA$17,5841.2×52026-03-30
Cleveland Clinic (main campus)Cleveland OH$17,9271.7×52026-06-16
Endeavor Health Elmhurst HospitalChicago IL$18,0221.5×32026-04-01
Duke University HospitalResearch Triangle NC$18,1081.7×42026-04-01
Lakeview Memorial HospitalMinneapolis-St. Paul MN$18,6251.6×32026-03-31
Mount Sinai Medical Center Of Florida, IncMiami-Fort Lauderdale FL$18,6401.6×52026-03-13
Cleveland Clinic HospitalMiami-Fort Lauderdale FL$18,7391.6×42026-06-15
UNC Rex HospitalResearch Triangle NC$19,0931.7×32026-04-01
Los Robles Hospital & Medical CenterCalifornia (statewide)$19,4161.4×32026-09-01
Medical City MckinneyDallas-Fort Worth TX$20,4791.9×62026-09-01
Baylor University Medical CenterDallas-Fort Worth TX$20,5841.9×42026-06-29
Endeavor Health Evanston HospitalChicago IL$20,6921.8×32026-04-01
Reston Hospital CenterWashington DC$20,8021.8×52026-09-01
Stonesprings Hospital CenterWashington DC$20,8021.8×52026-09-01
Cleveland Clinic Lutheran HospitalCleveland OH$21,0852.0×52026-06-15
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$21,4912.0×32026-05-01
Corewell Health William Beaumont University HospitDetroit MI$21,4912.0×32026-05-01
Corewell Health Beaumont Troy HospitalDetroit MI$21,4912.0×32026-05-01
UNC Hospitals (Chapel Hill)Research Triangle NC$21,6892.0×32026-04-01
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$21,8762.1×52026-09-01
Henrico Doctors' HospitalRichmond VA$21,8762.1×52026-09-01
Loyola University Medical CenterChicago IL$21,9441.9×42026-03-31
Hendricks Regional HealthIndianapolis IN$22,2831.9×32026-05-20
Lahey Hospital & Medical Center, BurlingtonBoston MA$22,3611.7×42026-04-01
Medical City PlanoDallas-Fort Worth TX$22,4482.0×62026-09-01
Park Nicollet Methodist HospitalMinneapolis-St. Paul MN$22,9462.0×32026-03-31
Medina HospitalCleveland OH$23,0802.2×42026-06-15
Rush University Medical CenterChicago IL$23,4942.0×42026-09-25
Missouri Baptist Medical CenterSt. Louis MO$23,9012.2×52025-12-15
Barnes-Jewish West County HospitalSt. Louis MO$23,9012.2×52025-12-15
Riddle Memorial HospitalPhiladelphia PA$24,3222.2×42026-04-01
Atrium Health PinevilleCharlotte NC$24,5902.3×22025-12-05
Mercy Hospital (Allina, Coon Rapids)Minneapolis-St. Paul MN$24,6312.1×42026-06-17
United Hospital (Allina)Minneapolis-St. Paul MN$24,6312.1×42026-06-16
Houston Methodist HospitalHouston TX$25,4002.3×22026-04-01
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$25,5372.2×52026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$25,5372.2×52026-04-01
Mckay-Dee HospitalSalt Lake City UT$25,9272.3×12026-08-05
Buffalo HospitalMinneapolis-St. Paul MN$25,9952.3×32026-06-16
Corewell Health Dearborn HospitalDetroit MI$26,1502.4×22026-05-01
Bryn Mawr HospitalPhiladelphia PA$26,5312.4×42026-04-01
Emory University HospitalAtlanta GA$26,7512.4×52026-04-01
Bethesda NorthOhio (statewide)$26,8362.5×52026-04-01
Vanderbilt University Medical CenterNashville TN$26,9212.6×62025-10-01
Intermountain Health Utah Valley HospitalSalt Lake City UT$26,9632.4×12026-08-05
Lds HospitalSalt Lake City UT$26,9632.4×12026-08-05
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$27,1362.3×42026-04-01
Adventhealth PorterDenver CO$27,1902.4×22026-04-01
Adventhealth ParkerDenver CO$27,1902.4×22026-04-01
George Washington Univ HospitalWashington DC$27,8952.1×32026-09-01
University of Chicago Medical CenterChicago IL$28,5362.4×52026-04-01
Cedars-Sinai Medical CenterLos Angeles CA$28,7722.0×12025-11-26
Jefferson Stratford HospitalPhiladelphia PA$28,7742.3×52026-09-15
Abbott Northwestern HospitalMinneapolis-St. Paul MN$28,9402.5×52026-06-16
VCU Medical CenterRichmond VA$28,9432.7×32026-01-02
Piedmont Atlanta HospitalAtlanta GA$28,9732.6×52026-07-01
Inova Alexandria HospitalWashington DC$29,0662.6×52026-04-01
Emory Houston Hospital Warner RobinsGeorgia (statewide)$29,3873.1×42026-04-01
Overlake Hospital Medical CenterSeattle-Tacoma WA$29,6942.3×62026-04-01
Piedmont Fayette HospitalAtlanta GA$29,7452.7×52026-07-01
Lehigh Valley HospitalPennsylvania (statewide)$29,9482.7×52026-07-01
Tampa General HospitalTampa FL$29,9582.6×42026-04-01
Novant Health Matthews Medical CenterCharlotte NC$29,9922.8×32026-03-30
Morton Plant HospitalTampa FL$30,3322.6×52026-01-01
Piedmont Newnan HospitalAtlanta GA$30,4982.8×52026-07-01
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$32,0642.9×42026-04-21
Legacy Meridian Park Medical CenterPortland OR$32,1042.6×42026-04-01
Legacy Mount Hood Medical CenterPortland OR$32,2582.6×42026-04-01
UCHealth University of Colorado HospitalDenver CO$32,2932.8×62025-11-01
Medstar Washington Hospital CenterWashington DC$32,3042.5×52026-04-01
Trinity Health Oakland HospitalDetroit MI$32,6053.0×172026-03-31
Harper University HospitalDetroit MI$32,6563.0×22026-09-02
Legacy Good Samaritan Medical CenterPortland OR$32,8422.7×42026-04-01
Barnes Jewish HospitalSt. Louis MO$33,0053.0×52025-12-15
Stony Brook University HospitalNew York (statewide)$33,0112.4×12026-06-10
Adventhealth TampaTampa FL$33,1642.9×42026-04-01
St Clare HospitalSeattle-Tacoma WA$33,5722.6×62026-02-28
St Anthony HospitalSeattle-Tacoma WA$33,5722.6×62026-02-28
Multicare Good Samaritan HospitalSeattle-Tacoma WA$33,7242.6×62026-08-27
Tacoma General Allenmore HospitalSeattle-Tacoma WA$33,7242.6×62026-08-27
Legacy Emanuel Medical CenterPortland OR$33,9622.8×42026-04-01
Ohio State University HospitalsColumbus OH$34,0293.2×32026-07-01
Henry Ford Health Rochester HospitalDetroit MI$34,3853.2×12026-01-01
Medstar Georgetown University HospitalWashington DC$36,3272.8×42026-04-01
Adventhealth CarrollwoodTampa FL$36,4663.2×42026-04-01
Upmc Presbyterian ShadysidePittsburgh PA$36,7923.5×12026-03-06
Bon Secours St. Mary's HospitalRichmond VA$36,9133.5×52026-04-01
Thomas Jefferson University HospitalPhiladelphia PA$37,6013.4×52026-09-15
Providence St Vincent Medical CenterPortland OR$38,5993.1×32026-04-01
Providence Portland Medical CenterPortland OR$38,5993.1×32026-04-01
Inspira Medical Center Mullica HillPhiladelphia PA$41,7333.4×52026-03-24
Swedish Medical CenterSeattle-Tacoma WA$42,0663.3×52026-04-01
Orlando Health Orlando Regional Medical CenterFlorida (statewide)$43,0003.8×42026-04-01
Keck Hospital Of UscLos Angeles CA$46,9623.3×72026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$49,2373.5×72026-01-01

MS-DRG 707: Major Male Pelvic Procedures With Cc/McC

123 hospitals in 38 markets. National Medicare rate $14,556.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA4———$35,018–$39,763
Austin TX2———$13,024–$17,117
Boston MA7$17,779$18,503$20,621$15,026–$29,154
California (statewide)1———$24,856–$24,856
Charlotte NC2———$32,188–$39,104
Chicago IL7$22,433$27,086$29,678$18,430–$37,206
Cleveland OH5$18,150$22,517$27,490$16,012–$30,092
Columbus OH1———$44,367–$44,367
Dallas-Fort Worth TX4———$26,894–$41,972
Denver CO7$17,183$18,577$35,452$16,828–$42,104
Detroit MI8$28,020$44,058$51,222$28,020–$57,893
Florida (statewide)1———$56,288–$56,288
Georgia (statewide)1———$38,468–$38,468
Houston TX1———$33,724–$33,724
Indianapolis IN3———$15,520–$29,052
Kansas (statewide)1———$21,763–$21,763
Las Vegas NV1———$21,478–$21,478
Los Angeles CA2———$37,513–$61,229
Miami-Fort Lauderdale FL2———$19,447–$24,432
Minneapolis-St. Paul MN6$30,466$32,114$33,448$24,284–$37,733
Nashville TN4———$15,396–$35,099
New York (statewide)1———$33,011–$33,011
New York City2———$19,078–$64,196
Ohio (statewide)1———$34,989–$34,989
Pennsylvania (statewide)1———$39,047–$39,047
Philadelphia PA5$35,424$37,516$49,024$32,580–$54,412
Phoenix AZ3———$33,295–$35,416
Pittsburgh PA1———$39,819–$39,819
Portland OR6$42,052$42,930$48,760$41,936–$50,527
Research Triangle NC5$22,647$23,463$24,993$18,240–$28,391
Richmond VA4———$22,794–$50,927
Salt Lake City UT3———$32,095–$33,378
San Antonio TX1———$20,286–$20,286
San Diego CA1———$20,284–$20,284
Seattle-Tacoma WA6$43,945$44,302$44,658$39,396–$55,066
St. Louis MO3———$26,507–$35,437
Tampa FL4———$39,216–$47,544
Washington DC6$26,297$37,208$41,100$22,894–$47,364
HospitalMarketMedian across insurers× MedicareInsurersFile date
Ascension Seton Medical Center AustinAustin TX$13,0240.9×12026-01-01
Anna Jaques HospitalBoston MA$15,0260.9×12026-04-01
Ascension Saint Thomas RutherfordNashville TN$15,3961.1×62026-01-01
Ascension St Vincent CarmelIndianapolis IN$15,5201.0×52026-01-01
Ascension St Vincent AndersonIndianapolis IN$15,8941.1×52026-01-01
Cleveland Clinic Hillcrest HospitalCleveland OH$16,0121.2×42026-06-15
Ascension Saint Thomas Hospital (Midtown + West)Nashville TN$16,4081.2×72026-01-01
TriStar StoneCrest Medical CenterNashville TN$16,6231.2×72026-09-01
Hca Healthone RoseDenver CO$16,8281.1×52026-09-01
Beth Israel Deaconess Hospital - PlymouthBoston MA$17,0551.0×12026-04-01
HCA HealthONE Sky RidgeDenver CO$17,0671.1×52026-09-01
St David's Medical CenterAustin TX$17,1171.2×52026-09-01
HCA HealthONE SwedishDenver CO$17,2991.1×52026-09-01
Cleveland Clinic (main campus)Cleveland OH$18,1501.4×52026-06-16
North Carolina Specialty HospitalResearch Triangle NC$18,2401.3×22026-02-25
Endeavor Health Northwest Community HospitalChicago IL$18,4301.2×32026-04-01
Beverly Hospital CorporationBoston MA$18,5031.1×12026-04-01
Winchester HospitalBoston MA$18,5031.1×12026-04-01
HCA HealthONE Presbyterian/St. Luke'sDenver CO$18,5771.2×52026-09-01
Montefiore Medical CenterNew York City$19,0781.1×12026-04-01
Mount Sinai Medical Center Of Florida, IncMiami-Fort Lauderdale FL$19,4471.3×52026-03-13
Beth Israel Deaconess Medical CenterBoston MA$19,9191.1×22026-04-01
Scripps Green HospitalSan Diego CA$20,2841.1×42026-03-30
Methodist HospitalSan Antonio TX$20,2861.4×42026-09-01
Endeavor Health Edward HospitalChicago IL$21,2741.4×32026-04-01
New England Baptist HospitalBoston MA$21,3231.2×32026-04-01
University Medical Center of Southern NevadaLas Vegas NV$21,4781.4×22026-07-01
Menorah Medical CenterKansas (statewide)$21,7631.6×62026-09-01
University Hospitals - Elyria Medical CenterCleveland OH$22,5171.7×32026-07-14
Duke Regional HospitalResearch Triangle NC$22,6471.6×32026-04-01
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$22,7941.6×52026-09-01
Henrico Doctors' HospitalRichmond VA$22,7941.6×52026-09-01
Reston Hospital CenterWashington DC$22,8941.6×52026-09-01
Stonesprings Hospital CenterWashington DC$22,9401.6×52026-09-01
Duke University HospitalResearch Triangle NC$23,4631.7×42026-04-01
Endeavor Health Elmhurst HospitalChicago IL$23,5921.5×32026-04-01
Lakeview Memorial HospitalMinneapolis-St. Paul MN$24,2841.6×32026-03-31
Cleveland Clinic HospitalMiami-Fort Lauderdale FL$24,4321.6×42026-06-15
Los Robles Hospital & Medical CenterCalifornia (statewide)$24,8561.3×32026-09-01
UNC Rex HospitalResearch Triangle NC$24,9931.7×32026-04-01
Missouri Baptist Medical CenterSt. Louis MO$26,5071.9×52025-12-15
Barnes-Jewish West County HospitalSt. Louis MO$26,5071.9×52025-12-15
Baylor University Medical CenterDallas-Fort Worth TX$26,8941.9×42026-06-29
Medical City MckinneyDallas-Fort Worth TX$26,9361.9×62026-09-01
Endeavor Health Evanston HospitalChicago IL$27,0861.8×32026-04-01
Cleveland Clinic Lutheran HospitalCleveland OH$27,4902.0×52026-06-15
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$28,0202.0×32026-05-01
Corewell Health William Beaumont University HospitDetroit MI$28,0202.0×32026-05-01
Corewell Health Beaumont Troy HospitalDetroit MI$28,0202.0×32026-05-01
Medical City PlanoDallas-Fort Worth TX$28,1982.0×62026-09-01
UNC Hospitals (Chapel Hill)Research Triangle NC$28,3912.0×32026-04-01
Loyola University Medical CenterChicago IL$28,7241.9×42026-03-31
Hendricks Regional HealthIndianapolis IN$29,0521.9×32026-05-20
Lahey Hospital & Medical Center, BurlingtonBoston MA$29,1541.7×42026-04-01
Park Nicollet Methodist HospitalMinneapolis-St. Paul MN$29,9162.0×32026-03-31
Medina HospitalCleveland OH$30,0922.2×42026-06-15
Rush University Medical CenterChicago IL$30,6312.0×42026-09-25
Mckay-Dee HospitalSalt Lake City UT$32,0952.2×12026-08-05
Mercy Hospital (Allina, Coon Rapids)Minneapolis-St. Paul MN$32,1142.1×42026-06-17
United Hospital (Allina)Minneapolis-St. Paul MN$32,1142.1×42026-06-16
Atrium Health PinevilleCharlotte NC$32,1882.3×22025-12-05
Riddle Memorial HospitalPhiladelphia PA$32,5802.2×42026-04-01
Stony Brook University HospitalNew York (statewide)$33,0111.8×12026-06-10
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$33,2952.2×52026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$33,2952.2×52026-04-01
Intermountain Health Utah Valley HospitalSalt Lake City UT$33,3782.3×12026-08-05
Lds HospitalSalt Lake City UT$33,3782.3×12026-08-05
Houston Methodist HospitalHouston TX$33,7242.4×22026-04-01
Buffalo HospitalMinneapolis-St. Paul MN$33,8932.3×32026-06-16
Bethesda NorthOhio (statewide)$34,9892.5×52026-04-01
Emory University HospitalAtlanta GA$35,0182.5×52026-04-01
Vanderbilt University Medical CenterNashville TN$35,0992.6×62025-10-01
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$35,4162.3×42026-04-01
Bryn Mawr HospitalPhiladelphia PA$35,4242.4×42026-04-01
Barnes Jewish HospitalSt. Louis MO$35,4372.5×52025-12-15
Adventhealth PorterDenver CO$35,4522.4×22026-04-01
Adventhealth ParkerDenver CO$35,4522.4×22026-04-01
George Washington Univ HospitalWashington DC$36,3692.1×32026-09-01
University of Chicago Medical CenterChicago IL$37,2062.4×52026-04-01
Cedars-Sinai Medical CenterLos Angeles CA$37,5132.0×12025-11-26
Jefferson Stratford HospitalPhiladelphia PA$37,5162.3×52026-09-15
Abbott Northwestern HospitalMinneapolis-St. Paul MN$37,7332.5×52026-06-16
Piedmont Atlanta HospitalAtlanta GA$37,7752.6×52026-07-01
Inova Alexandria HospitalWashington DC$38,0472.6×52026-04-01
Emory Houston Hospital Warner RobinsGeorgia (statewide)$38,4683.1×42026-04-01
Piedmont Fayette HospitalAtlanta GA$38,7822.7×52026-07-01
Lehigh Valley HospitalPennsylvania (statewide)$39,0472.7×52026-07-01
Novant Health Matthews Medical CenterCharlotte NC$39,1042.8×32026-03-30
Tampa General HospitalTampa FL$39,2162.6×42026-04-01
Overlake Hospital Medical CenterSeattle-Tacoma WA$39,3962.4×62026-04-01
Morton Plant HospitalTampa FL$39,7052.7×52026-01-01
Piedmont Newnan HospitalAtlanta GA$39,7632.8×52026-07-01
Upmc Presbyterian ShadysidePittsburgh PA$39,8192.9×12026-03-06
Corewell Health Dearborn HospitalDetroit MI$39,9462.8×22026-05-01
Legacy Mount Hood Medical CenterPortland OR$41,9362.6×42026-04-01
Legacy Meridian Park Medical CenterPortland OR$41,9362.6×42026-04-01
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$41,9722.9×42026-04-21
UCHealth University of Colorado HospitalDenver CO$42,1042.8×62025-11-01
Medstar Washington Hospital CenterWashington DC$42,1182.5×52026-04-01
Legacy Good Samaritan Medical CenterPortland OR$42,4002.7×42026-04-01
Adventhealth TampaTampa FL$43,2402.9×42026-04-01
Legacy Emanuel Medical CenterPortland OR$43,4612.7×42026-04-01
St Clare HospitalSeattle-Tacoma WA$43,9452.6×62026-02-28
St Anthony HospitalSeattle-Tacoma WA$43,9452.6×62026-02-28
Ohio State University HospitalsColumbus OH$44,3673.2×32026-07-01
Multicare Good Samaritan HospitalSeattle-Tacoma WA$44,6582.6×62026-08-27
Tacoma General Allenmore HospitalSeattle-Tacoma WA$44,6582.6×62026-08-27
Medstar Georgetown University HospitalWashington DC$47,3642.8×42026-04-01
Adventhealth CarrollwoodTampa FL$47,5443.2×42026-04-01
VCU Medical CenterRichmond VA$47,9953.5×32026-01-02
Mclaren Port HuronDetroit MI$48,1713.4×12025-12-31
Thomas Jefferson University HospitalPhiladelphia PA$49,0243.4×52026-09-15
Harper University HospitalDetroit MI$49,9983.5×22026-09-02
Providence St Vincent Medical CenterPortland OR$50,5273.2×32026-04-01
Providence Portland Medical CenterPortland OR$50,5273.2×32026-04-01
Bon Secours St. Mary's HospitalRichmond VA$50,9273.7×42026-04-01
Inspira Medical Center Mullica HillPhiladelphia PA$54,4123.4×52026-03-24
Trinity Health Oakland HospitalDetroit MI$54,8963.9×172026-03-31
Swedish Medical CenterSeattle-Tacoma WA$55,0663.3×52026-04-01
Orlando Health Orlando Regional Medical CenterFlorida (statewide)$56,2883.8×42026-04-01
Henry Ford Health Rochester HospitalDetroit MI$57,8934.1×12026-01-01
Keck Hospital Of UscLos Angeles CA$61,2293.3×72026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$64,1963.5×72026-01-01

Questions

How much do commercial insurers pay hospitals for prostate removal (robotic)?

Across 87 hospitals in 31 metro areas that post a usable dollar rate, the median commercial rate for CPT 55866, hospital outpatient is $15,419, 1.3× the same hospital's local Medicare base rate. The middle half of hospitals runs $11,579 to $22,326. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for prostate removal (robotic)?

Medicare's national hospital outpatient rate for CPT 55866 is $10,860 and its surgery-center rate is $5,120, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for prostate removal (robotic)?

Lowest medians: Ascension Saint Thomas Hospital (Midtown + West) ($6,165), Henderson Hospital ($7,907), Ascension Seton Medical Center Austin ($8,077). Highest: Multicare Good Samaritan Hospital ($45,322), John Muir Medical Center - Walnut Creek Campus ($43,398), Providence Portland Medical Center ($42,635). Coverage is limited to the markets listed on this page.