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Prostate removal (robotic) in Pennsylvania: what insurers pay

Posted commercial rates at 5 Pennsylvania hospitals, each next to its own Medicare base rate.

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CPT 55866

Hospital	Median across insurers	× Medicare	Insurers	File date
Thomas Jefferson University Hospital Philadelphia	$9,384	0.9×	2	2026-09-15
Riddle Memorial Hospital Media	$11,308	1.0×	2	2026-04-01
Bryn Mawr Hospital Bryn Mawr	$11,366	1.0×	2	2026-04-01
Lehigh Valley Hospital Allentown	$31,259	2.9×	7	2026-07-01

MS-DRG 708

Hospital	Median across insurers	× Medicare	Insurers	File date
Riddle Memorial Hospital Media	$24,322	2.2×	4	2026-04-01
Bryn Mawr Hospital Bryn Mawr	$26,531	2.4×	4	2026-04-01
Lehigh Valley Hospital Allentown	$29,948	2.7×	5	2026-07-01
Upmc Presbyterian Shadyside Pittsburgh	$36,792	3.5×	1	2026-03-06
Thomas Jefferson University Hospital Philadelphia	$37,601	3.4×	5	2026-09-15

MS-DRG 707

Hospital	Median across insurers	× Medicare	Insurers	File date
Riddle Memorial Hospital Media	$32,580	2.2×	4	2026-04-01
Bryn Mawr Hospital Bryn Mawr	$35,424	2.4×	4	2026-04-01
Lehigh Valley Hospital Allentown	$39,047	2.7×	5	2026-07-01
Upmc Presbyterian Shadyside Pittsburgh	$39,819	2.9×	1	2026-03-06
Thomas Jefferson University Hospital Philadelphia	$49,024	3.4×	5	2026-09-15

Questions

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

5 Pennsylvania hospitals post usable commercial rates for prostate removal (robotic) in their federal price-transparency files. For CPT 55866, hospital outpatient, the median across 4 hospitals is $11,337, 1.0× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.