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Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.
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CPT 55866
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| George Washington Univ Hospital median $11,403 · local Medicare $12,557 · file 2026-09-01 | |||
| Cigna | $11,365 | 0.9× | 2 |
| Mdipa | $11,403 | 0.9× | 1 |
| UnitedHealthcare | $30,508 | 2.4× | 2 |
| Spotsylvania Regional Medical Center median $13,193 · local Medicare $10,998 · file 2026-09-01 | |||
| Bright Health | $8,609 | 0.8× | 1 |
| Cigna | $16,704 | 1.5× | 2 |
| Elevance/Anthem/Empire | $12,050 | 1.1× | 4 |
| Sentara Optima Health | $21,382 | 1.9× | 3 |
| UnitedHealthcare | $13,193 | 1.2× | 1 |
| Reston Hospital Center median $16,704 · local Medicare $10,998 · file 2026-09-01 | |||
| Bright Health | $13,037 | 1.2× | 1 |
| Cigna | $16,704 | 1.5× | 2 |
| Elevance/Anthem/Empire | $13,641 | 1.2× | 4 |
| Sentara Optima Health | $21,382 | 1.9× | 2 |
| UnitedHealthcare | $17,476 | 1.6× | 1 |
| Stonesprings Hospital Center median $16,704 · local Medicare $10,998 · file 2026-09-01 | |||
| Bright Health | $13,037 | 1.2× | 1 |
| Cigna | $16,704 | 1.5× | 2 |
| Elevance/Anthem/Empire | $13,690 | 1.2× | 4 |
| Sentara Optima Health | $21,382 | 1.9× | 2 |
| UnitedHealthcare | $17,476 | 1.6× | 1 |
| Inova Alexandria Hospital median $27,602 · local Medicare $10,998 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $27,602 | 2.5× | 2 |
| Sentara Health | $20,079 | 1.8× | 2 |
| UnitedHealthcare | $27,718 | 2.5× | 2 |
| Inova Loudoun Hospital median $27,718 · local Medicare $10,998 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $28,034 | 2.5× | 2 |
| Sentara Health | $20,079 | 1.8× | 2 |
| UnitedHealthcare | $27,718 | 2.5× | 2 |
| Inova Fair Oaks Hospital median $27,718 · local Medicare $10,998 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $28,157 | 2.6× | 2 |
| Sentara Health | $20,079 | 1.8× | 2 |
| UnitedHealthcare | $27,718 | 2.5× | 2 |
| Inova Mount Vernon Hospital median $27,718 · local Medicare $10,998 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $27,842 | 2.5× | 2 |
| Sentara Health | $20,079 | 1.8× | 2 |
| UnitedHealthcare | $27,718 | 2.5× | 2 |
| Inova Fairfax Hospital median $28,155 · local Medicare $10,998 · file 2026-04-01 | |||
| Elevance/Anthem/Empire | $28,463 | 2.6× | 2 |
| Sentara Health | $20,079 | 1.8× | 2 |
| UnitedHealthcare | $28,155 | 2.6× | 2 |
MS-DRG 708
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Spotsylvania Regional Medical Center median $14,058 · local Medicare $11,320 · file 2026-09-01 | |||
| Aetna | $14,614 | 1.3× | 2 |
| Bright Health | $13,661 | 1.2× | 2 |
| Cigna | $20,802 | 1.8× | 2 |
| Elevance/Anthem/Empire | $14,058 | 1.2× | 5 |
| Sentara Optima Health | $29,062 | 2.6× | 3 |
| UnitedHealthcare | $12,040 | 1.1× | 4 |
| Virginia Premier Health | $12,462 | 1.1× | 1 |
| Reston Hospital Center median $17,282 · local Medicare $11,320 · file 2026-09-01 | |||
| Aetna | $14,821 | 1.3× | 2 |
| Bright Health | $17,282 | 1.5× | 2 |
| CareFirst BCBS | $23,840 | 2.1× | 2 |
| Cigna | $20,802 | 1.8× | 2 |
| Elevance/Anthem/Empire | $20,838 | 1.8× | 5 |
| Pyramid Life | $13,883 | 1.2× | 1 |
| Sentara Optima Health | $29,062 | 2.6× | 2 |
| UnitedHealthcare | $11,990 | 1.1× | 3 |
| Virginia Premier Health | $12,874 | 1.1× | 1 |
| Stonesprings Hospital Center median $19,042 · local Medicare $11,320 · file 2026-09-01 | |||
| Aetna | $14,909 | 1.3× | 2 |
| Bright Health | $17,282 | 1.5× | 2 |
| CareFirst BCBS | $23,840 | 2.1× | 2 |
| Cigna | $20,802 | 1.8× | 2 |
| Elevance/Anthem/Empire | $22,298 | 2.0× | 5 |
| Sentara Optima Health | $29,062 | 2.6× | 2 |
| UnitedHealthcare | $12,155 | 1.1× | 3 |
| Virginia Premier Health | $13,051 | 1.2× | 1 |
| George Washington Univ Hospital median $27,426 · local Medicare $13,083 · file 2026-09-01 | |||
| Aetna | $31,508 | 2.4× | 1 |
| Cigna | $26,692 | 2.0× | 2 |
| Elevance/Anthem/Empire | $27,895 | 2.1× | 2 |
| Mdipa | $26,957 | 2.1× | 1 |
| Medstar | $18,863 | 1.4× | 1 |
| UnitedHealthcare | $45,530 | 3.5× | 2 |
| Medstar Georgetown University Hospital median $28,788 · local Medicare $13,083 · file 2026-04-01 | |||
| Aetna | $51,187 | 3.9× | 1 |
| CareFirst BCBS | $28,788 | 2.2× | 2 |
| Cigna | $43,866 | 3.4× | 2 |
| Health Care Service Corporation | $14,856 | 1.1× | 1 |
| UnitedHealthcare | $23,268 | 1.8× | 4 |
| Inova Alexandria Hospital median $29,066 · local Medicare $11,320 · file 2026-04-01 | |||
| Aetna | $29,066 | 2.6× | 3 |
| CareFirst BCBS | $25,841 | 2.3× | 2 |
| Cigna | $32,219 | 2.8× | 2 |
| Elevance/Anthem/Empire | $27,942 | 2.5× | 2 |
| Innovation | $27,176 | 2.4× | 2 |
| Sentara Health | $30,989 | 2.7× | 2 |
| UnitedHealthcare | $39,602 | 3.5× | 2 |
| Inova Mount Vernon Hospital median $29,076 · local Medicare $11,320 · file 2026-04-01 | |||
| Aetna | $29,066 | 2.6× | 3 |
| CareFirst BCBS | $25,841 | 2.3× | 2 |
| Cigna | $32,219 | 2.8× | 2 |
| Elevance/Anthem/Empire | $29,076 | 2.6× | 2 |
| Innovation | $27,176 | 2.4× | 2 |
| Sentara Health | $30,989 | 2.7× | 2 |
| UnitedHealthcare | $39,602 | 3.5× | 2 |
| Inova Loudoun Hospital median $29,816 · local Medicare $11,320 · file 2026-04-01 | |||
| Aetna | $29,066 | 2.6× | 3 |
| CareFirst BCBS | $25,841 | 2.3× | 2 |
| Cigna | $32,219 | 2.8× | 2 |
| Elevance/Anthem/Empire | $29,816 | 2.6× | 2 |
| Innovation | $27,176 | 2.4× | 2 |
| Sentara Health | $30,989 | 2.7× | 2 |
| UnitedHealthcare | $39,602 | 3.5× | 2 |
| Inova Fairfax Hospital median $30,107 · local Medicare $11,320 · file 2026-04-01 | |||
| Aetna | $30,053 | 2.7× | 3 |
| CareFirst BCBS | $27,729 | 2.4× | 2 |
| Cigna | $32,694 | 2.9× | 2 |
| Elevance/Anthem/Empire | $30,107 | 2.7× | 2 |
| Innovation | $28,176 | 2.5× | 2 |
| Sentara Health | $33,683 | 3.0× | 2 |
| UnitedHealthcare | $40,091 | 3.5× | 2 |
| Inova Fair Oaks Hospital median $30,376 · local Medicare $11,320 · file 2026-04-01 | |||
| Aetna | $29,066 | 2.6× | 3 |
| CareFirst BCBS | $25,841 | 2.3× | 2 |
| Cigna | $32,219 | 2.8× | 2 |
| Elevance/Anthem/Empire | $30,376 | 2.7× | 2 |
| Innovation | $27,176 | 2.4× | 2 |
| Sentara Health | $30,989 | 2.7× | 2 |
| UnitedHealthcare | $39,602 | 3.5× | 2 |
| Medstar Washington Hospital Center median $32,304 · local Medicare $13,083 · file 2026-04-01 | |||
| Aetna | $42,085 | 3.2× | 1 |
| CareFirst BCBS | $25,347 | 1.9× | 2 |
| Cigna | $41,753 | 3.2× | 2 |
| Health Care Service Corporation | $15,394 | 1.2× | 1 |
| Kaiser Permanente | $32,304 | 2.5× | 1 |
| Mamsi | $38,883 | 3.0× | 1 |
| UnitedHealthcare | $28,060 | 2.1× | 4 |
MS-DRG 707
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Spotsylvania Regional Medical Center median $18,360 · local Medicare $14,759 · file 2026-09-01 | |||
| Aetna | $22,639 | 1.5× | 2 |
| Bright Health | $18,360 | 1.2× | 2 |
| Cigna | $20,431 | 1.4× | 2 |
| Elevance/Anthem/Empire | $18,329 | 1.2× | 5 |
| Sentara Optima Health | $29,062 | 2.0× | 3 |
| UnitedHealthcare | $15,718 | 1.1× | 4 |
| Virginia Premier Health | $16,032 | 1.1× | 1 |
| Reston Hospital Center median $22,894 · local Medicare $14,759 · file 2026-09-01 | |||
| Aetna | $22,894 | 1.6× | 2 |
| Bright Health | $23,225 | 1.6× | 2 |
| CareFirst BCBS | $31,083 | 2.1× | 2 |
| Cigna | $20,431 | 1.4× | 2 |
| Elevance/Anthem/Empire | $27,168 | 1.8× | 5 |
| Pyramid Life | $17,838 | 1.2× | 1 |
| Sentara Optima Health | $29,062 | 2.0× | 2 |
| UnitedHealthcare | $15,406 | 1.0× | 3 |
| Virginia Premier Health | $16,541 | 1.1× | 1 |
| Stonesprings Hospital Center median $23,082 · local Medicare $14,759 · file 2026-09-01 | |||
| Aetna | $22,940 | 1.6× | 2 |
| Bright Health | $23,225 | 1.6× | 2 |
| CareFirst BCBS | $31,083 | 2.1× | 2 |
| Cigna | $20,431 | 1.4× | 2 |
| Elevance/Anthem/Empire | $29,072 | 2.0× | 5 |
| Sentara Optima Health | $29,062 | 2.0× | 2 |
| UnitedHealthcare | $15,492 | 1.0× | 3 |
| Virginia Premier Health | $16,633 | 1.1× | 1 |
| George Washington Univ Hospital median $35,758 · local Medicare $17,058 · file 2026-09-01 | |||
| Aetna | $41,080 | 2.4× | 1 |
| Cigna | $34,801 | 2.0× | 2 |
| Elevance/Anthem/Empire | $36,369 | 2.1× | 2 |
| Mdipa | $35,147 | 2.1× | 1 |
| Medstar | $24,417 | 1.4× | 1 |
| UnitedHealthcare | $59,363 | 3.5× | 2 |
| Medstar Georgetown University Hospital median $37,534 · local Medicare $17,058 · file 2026-04-01 | |||
| Aetna | $66,738 | 3.9× | 1 |
| CareFirst BCBS | $37,534 | 2.2× | 2 |
| Cigna | $57,193 | 3.4× | 2 |
| Health Care Service Corporation | $19,224 | 1.1× | 1 |
| UnitedHealthcare | $30,267 | 1.8× | 4 |
| Inova Alexandria Hospital median $38,047 · local Medicare $14,759 · file 2026-04-01 | |||
| Aetna | $38,047 | 2.6× | 3 |
| CareFirst BCBS | $33,691 | 2.3× | 2 |
| Cigna | $42,175 | 2.9× | 2 |
| Elevance/Anthem/Empire | $36,576 | 2.5× | 2 |
| Innovation | $35,574 | 2.4× | 2 |
| Sentara Health | $40,564 | 2.7× | 2 |
| UnitedHealthcare | $51,839 | 3.5× | 2 |
| Inova Mount Vernon Hospital median $38,061 · local Medicare $14,759 · file 2026-04-01 | |||
| Aetna | $38,047 | 2.6× | 3 |
| CareFirst BCBS | $33,691 | 2.3× | 2 |
| Cigna | $42,175 | 2.9× | 2 |
| Elevance/Anthem/Empire | $38,061 | 2.6× | 2 |
| Innovation | $35,574 | 2.4× | 2 |
| Sentara Health | $40,564 | 2.7× | 2 |
| UnitedHealthcare | $51,839 | 3.5× | 2 |
| Inova Loudoun Hospital median $39,029 · local Medicare $14,759 · file 2026-04-01 | |||
| Aetna | $38,047 | 2.6× | 3 |
| CareFirst BCBS | $33,691 | 2.3× | 2 |
| Cigna | $42,175 | 2.9× | 2 |
| Elevance/Anthem/Empire | $39,029 | 2.6× | 2 |
| Innovation | $35,574 | 2.4× | 2 |
| Sentara Health | $40,564 | 2.7× | 2 |
| UnitedHealthcare | $51,839 | 3.5× | 2 |
| Inova Fairfax Hospital median $39,410 · local Medicare $14,759 · file 2026-04-01 | |||
| Aetna | $39,340 | 2.7× | 3 |
| CareFirst BCBS | $36,153 | 2.4× | 2 |
| Cigna | $42,796 | 2.9× | 2 |
| Elevance/Anthem/Empire | $39,410 | 2.7× | 2 |
| Innovation | $36,883 | 2.5× | 2 |
| Sentara Health | $44,092 | 3.0× | 2 |
| UnitedHealthcare | $52,480 | 3.6× | 2 |
| Inova Fair Oaks Hospital median $39,763 · local Medicare $14,759 · file 2026-04-01 | |||
| Aetna | $38,047 | 2.6× | 3 |
| CareFirst BCBS | $33,691 | 2.3× | 2 |
| Cigna | $42,175 | 2.9× | 2 |
| Elevance/Anthem/Empire | $39,763 | 2.7× | 2 |
| Innovation | $35,574 | 2.4× | 2 |
| Sentara Health | $40,564 | 2.7× | 2 |
| UnitedHealthcare | $51,839 | 3.5× | 2 |
| Medstar Washington Hospital Center median $42,118 · local Medicare $17,058 · file 2026-04-01 | |||
| Aetna | $54,870 | 3.2× | 1 |
| CareFirst BCBS | $33,047 | 1.9× | 2 |
| Cigna | $54,438 | 3.2× | 2 |
| Health Care Service Corporation | $19,857 | 1.2× | 1 |
| Kaiser Permanente | $42,118 | 2.5× | 1 |
| Mamsi | $50,696 | 3.0× | 1 |
| UnitedHealthcare | $36,482 | 2.1× | 4 |
Questions
How much does prostate removal (robotic) cost with commercial insurance in Washington DC?
9 Washington DC hospitals post usable commercial rates for CPT 55866, hospital outpatient. The median across hospitals is $27,602; hospital medians range from $11,403 to $28,155. Your cost depends on your plan's deductible and coinsurance.