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Prostate removal (robotic) in New York: what insurers pay

Posted commercial rates at 3 New York hospitals, each next to its own Medicare base rate.

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CPT 55866

HospitalMedian across insurers× MedicareInsurersFile date
Stony Brook University Hospital Stony Brook$11,5200.9×42026-06-10
Montefiore Medical Center Bronx$16,7411.3×72026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$25,9752.0×72026-01-01

MS-DRG 708

HospitalMedian across insurers× MedicareInsurersFile date
Montefiore Medical Center Bronx$14,5741.1×12026-04-01
Stony Brook University Hospital Stony Brook$33,0112.4×12026-06-10
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$49,2373.5×72026-01-01

MS-DRG 707

HospitalMedian across insurers× MedicareInsurersFile date
Montefiore Medical Center Bronx$19,0781.1×12026-04-01
Stony Brook University Hospital Stony Brook$33,0111.8×12026-06-10
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$64,1963.5×72026-01-01

Questions

How much do insurers pay for prostate removal (robotic) in New York?

3 New York hospitals post usable commercial rates for prostate removal (robotic) in their federal price-transparency files. For CPT 55866, hospital outpatient, the median across 3 hospitals is $16,741, 1.3× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.