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Prostate removal (robotic) in Tennessee: what insurers pay

Posted commercial rates at 4 Tennessee hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 55866

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Saint Thomas Hospital (Midtown + West) Nashville$6,1650.6×12026-01-01
TriStar StoneCrest Medical Center Smyrna$9,5160.9×42026-09-01
Vanderbilt University Medical Center Nashville$11,7661.1×62025-10-01

MS-DRG 708

HospitalMedian across insurers× MedicareInsurersFile date
TriStar StoneCrest Medical Center Smyrna$13,2851.3×72026-09-01
Ascension Saint Thomas Rutherford Murfreesboro$15,2391.5×62026-01-01
Ascension Saint Thomas Hospital (Midtown + West) Nashville$15,2391.5×72026-01-01
Vanderbilt University Medical Center Nashville$26,9212.6×62025-10-01

MS-DRG 707

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Saint Thomas Rutherford Murfreesboro$15,3961.1×62026-01-01
Ascension Saint Thomas Hospital (Midtown + West) Nashville$16,4081.2×72026-01-01
TriStar StoneCrest Medical Center Smyrna$16,6231.2×72026-09-01
Vanderbilt University Medical Center Nashville$35,0992.6×62025-10-01

Questions

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

4 Tennessee 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 $9,516, 0.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.