Washington, DC · hospital rates, itemized

Impacted tooth removal (surgical) at Sibley Memorial Hospital

5255 Loughboro Rd Nw, Washington, DC 20016. From the hospital's federally required price file (v3.0.0), file date April 1, 2026 — source file. Last verified by PriceCheck: July 16, 2026. CPT 41899.

$890
Cash price
$8,690
Median commercial
$890
Gross charge (list)

Median commercial rate here: $8,690 — 402% above the Washington, DC metro median of $1,730. Compare all Washington, DC hospitals →

Commercial insurance plans

Payer / planFacility rateRate type
AetnaHMO $1,544 negotiated rate
AetnaPPO $1,866 negotiated rate
CignaHMO $15,514 negotiated rate
CignaPPO $18,617 negotiated rate

Medicare plans

Payer / planFacility rateRate type
KaiserMedicare Managed Care Plan $280 negotiated rate
AetnaMedicare Managed Care Plan $291 negotiated rate
Johns Hopkins Health PlansMedicare Managed Care Plan $294 negotiated rate
What these numbers are — and aren't. These are facility rates hospitals publish under the CMS Hospital Price Transparency rule (45 CFR Part 180). They are price information, not a quote or guarantee. Physician, anesthesia, radiology, and pathology services usually bill separately. Your actual cost depends on your insurance plan, deductible, and how the visit is coded. How we read hospital price files →

Common questions

How much does impacted tooth removal (surgical) cost at Sibley Memorial Hospital without insurance?

Sibley Memorial Hospital's price file lists a discounted cash (self-pay) facility rate of $890 for Impacted tooth removal (surgical), against a gross charge of $890. Facility rate only — physician, anesthesia, radiology, and pathology services bill separately.

What do insurance plans pay for impacted tooth removal (surgical) at Sibley Memorial Hospital?

Sibley Memorial Hospital lists 4 commercial plan rates for Impacted tooth removal (surgical), from $1,544 (Aetna) to $18,617 (Cigna), with a median of $8,690. The Washington, DC metro median commercial rate for this procedure is $1,730.

Where do these prices come from?

Directly from the machine-readable file Sibley Memorial Hospital publishes under the CMS Hospital Price Transparency rule (45 CFR Part 180), file date April 1, 2026. These are price disclosures, not quotes.

Same procedure at nearby hospitals: The George Washington University Hospital · Children's National Hospital · Virginia Hospital Center Arlington Health System · Inova Fairfax Hospital · Howard University Hospital Corp · Suburban Hospital