Price AtlasInteractive atlas · All states · techysurgeon.comBreast lump removal (open): what insurers pay
Removal of one or more breast lumps (cyst, fibroadenoma or other growth) through an incision. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
Open the interactive explorerAll operations
CPT 19120: Breast Lump Removal (Open)
1194 hospitals in 81 markets. National Medicare rate $4,000, surgery center $1,603.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 17 | $3,068 | $3,581 | $4,390 | $1,906–$8,718 |
| Alaska (statewide) | 4 | — | — | — | $3,420–$15,112 |
| Arizona (statewide) | 12 | $4,088 | $4,500 | $5,298 | $2,766–$6,047 |
| Arkansas (statewide) | 9 | $2,330 | $3,466 | $4,433 | $2,291–$5,293 |
| Atlanta GA | 6 | $5,324 | $5,324 | $5,826 | $5,324–$5,994 |
| Austin TX | 13 | $2,908 | $4,863 | $4,863 | $2,908–$5,880 |
| Boston MA | 14 | $4,376 | $5,937 | $6,326 | $2,534–$7,265 |
| California (statewide) | 66 | $5,314 | $8,571 | $12,934 | $3,866–$14,617 |
| Charlotte NC | 6 | $4,553 | $4,553 | $4,553 | $4,490–$4,982 |
| Chicago IL | 8 | $5,172 | $5,758 | $7,449 | $3,751–$8,892 |
| Cleveland OH | 11 | $3,579 | $4,798 | $6,017 | $2,453–$6,540 |
| Colorado (statewide) | 14 | $4,274 | $5,822 | $7,371 | $3,472–$9,563 |
| Columbus OH | 2 | — | — | — | $14,083–$14,083 |
| Connecticut (statewide) | 3 | — | — | — | $3,284–$16,313 |
| Dallas-Fort Worth TX | 14 | $5,880 | $5,986 | $6,586 | $5,023–$11,414 |
| Delaware (statewide) | 1 | — | — | — | $10,641–$10,641 |
| Denver CO | 15 | $5,415 | $5,826 | $5,958 | $4,448–$7,200 |
| Detroit MI | 15 | $2,724 | $3,308 | $3,704 | $2,724–$6,037 |
| Florida (statewide) | 57 | $6,342 | $8,771 | $10,082 | $3,000–$16,072 |
| Georgia (statewide) | 31 | $4,080 | $5,495 | $6,294 | $2,228–$17,296 |
| Hawaii (statewide) | 4 | — | — | — | $4,765–$6,463 |
| Houston TX | 19 | $4,336 | $4,807 | $5,606 | $4,144–$7,473 |
| Idaho (statewide) | 14 | $3,861 | $8,151 | $9,726 | $3,106–$11,549 |
| Illinois (statewide) | 30 | $4,150 | $5,463 | $7,295 | $2,682–$11,376 |
| Indiana (statewide) | 35 | $6,214 | $8,984 | $14,456 | $2,350–$20,580 |
| Indianapolis IN | 2 | — | — | — | $8,718–$16,287 |
| Iowa (statewide) | 25 | $2,975 | $5,006 | $7,614 | $2,398–$11,882 |
| Kansas (statewide) | 28 | $3,095 | $4,143 | $4,832 | $2,237–$15,112 |
| Kentucky (statewide) | 17 | $3,363 | $4,603 | $5,098 | $1,845–$8,364 |
| Las Vegas NV | 1 | — | — | — | $3,234–$3,234 |
| Los Angeles CA | 17 | $5,609 | $7,004 | $8,816 | $5,080–$20,636 |
| Louisiana (statewide) | 20 | $3,581 | $3,968 | $5,026 | $2,252–$9,826 |
| Maine (statewide) | 17 | $15,691 | $17,617 | $18,216 | $4,146–$22,903 |
| Massachusetts (statewide) | 8 | $4,097 | $4,743 | $5,109 | $3,220–$5,291 |
| Miami-Fort Lauderdale FL | 3 | — | — | — | $4,212–$6,465 |
| Michigan (statewide) | 30 | $3,202 | $3,406 | $3,901 | $2,188–$6,578 |
| Minneapolis-St. Paul MN | 12 | $3,908 | $4,380 | $6,074 | $2,963–$7,911 |
| Minnesota (statewide) | 13 | $8,793 | $10,747 | $12,263 | $2,398–$16,845 |
| Mississippi (statewide) | 15 | $4,128 | $5,178 | $5,374 | $2,350–$10,678 |
| Missouri (statewide) | 15 | $5,032 | $6,291 | $6,348 | $3,137–$7,220 |
| Montana (statewide) | 5 | $6,181 | $7,528 | $8,041 | $4,787–$11,218 |
| Nashville TN | 7 | $4,472 | $4,716 | $6,188 | $3,411–$7,725 |
| Nebraska (statewide) | 16 | $4,732 | $8,620 | $9,074 | $2,975–$18,020 |
| Nevada (statewide) | 2 | — | — | — | $7,453–$7,879 |
| New Hampshire (statewide) | 6 | $8,809 | $10,656 | $12,564 | $6,251–$17,533 |
| New Jersey (statewide) | 15 | $4,443 | $4,801 | $7,124 | $4,443–$11,208 |
| New Mexico (statewide) | 8 | $6,796 | $9,900 | $12,478 | $2,002–$13,842 |
| New York (statewide) | 32 | $4,562 | $5,754 | $8,004 | $3,514–$12,362 |
| New York City | 8 | $4,285 | $5,096 | $8,401 | $4,285–$13,586 |
| North Carolina (statewide) | 8 | $4,974 | $6,087 | $7,009 | $2,862–$9,986 |
| North Dakota (statewide) | 6 | $5,538 | $6,678 | $7,462 | $2,671–$8,709 |
| Ohio (statewide) | 39 | $4,798 | $8,000 | $10,564 | $2,359–$15,050 |
| Oklahoma (statewide) | 9 | $6,886 | $7,089 | $7,968 | $2,490–$10,430 |
| Oregon (statewide) | 11 | $9,644 | $11,174 | $13,428 | $4,253–$17,385 |
| Pennsylvania (statewide) | 40 | $3,770 | $6,682 | $9,063 | $2,148–$17,315 |
| Philadelphia PA | 11 | $4,617 | $5,320 | $6,644 | $4,096–$11,208 |
| Phoenix AZ | 8 | $3,298 | $3,594 | $3,770 | $2,936–$3,770 |
| Pittsburgh PA | 9 | $5,031 | $6,942 | $8,012 | $3,295–$9,638 |
| Portland OR | 9 | $11,261 | $11,261 | $12,994 | $10,767–$12,994 |
| Research Triangle NC | 2 | — | — | — | $2,675–$7,272 |
| Rhode Island (statewide) | 5 | $5,033 | $7,401 | $7,761 | $4,364–$8,938 |
| Richmond VA | 3 | — | — | — | $7,051–$7,130 |
| Rio Grande Valley TX | 6 | $5,088 | $5,186 | $5,694 | $4,902–$5,830 |
| Salt Lake City UT | 9 | $3,576 | $3,698 | $3,698 | $3,470–$3,819 |
| San Antonio TX | 3 | — | — | — | $4,674–$4,807 |
| San Diego CA | 7 | $8,561 | $8,561 | $8,616 | $7,050–$9,286 |
| San Francisco Bay Area CA | 4 | — | — | — | $6,682–$24,307 |
| Seattle-Tacoma WA | 16 | $9,753 | $10,490 | $13,890 | $9,688–$14,240 |
| South Carolina (statewide) | 28 | $6,346 | $9,526 | $12,760 | $3,684–$14,603 |
| South Dakota (statewide) | 5 | $3,272 | $3,332 | $5,909 | $2,922–$18,496 |
| St. Louis MO | 3 | — | — | — | $2,975–$3,234 |
| Tampa FL | 6 | $6,342 | $6,342 | $6,342 | $5,195–$10,426 |
| Tennessee (statewide) | 26 | $3,198 | $3,864 | $4,860 | $2,218–$8,398 |
| Texas (statewide) | 81 | $4,144 | $5,023 | $5,880 | $2,035–$20,580 |
| Utah (statewide) | 8 | $3,454 | $3,523 | $3,606 | $1,986–$13,098 |
| Vermont (statewide) | 1 | — | — | — | $5,134–$5,134 |
| Virginia (statewide) | 17 | $8,480 | $12,015 | $12,712 | $4,936–$14,453 |
| Washington (statewide) | 15 | $8,510 | $10,361 | $11,748 | $3,927–$21,016 |
| Washington DC | 10 | $5,388 | $5,689 | $5,689 | $2,866–$6,750 |
| West Virginia (statewide) | 10 | $5,943 | $6,830 | $12,768 | $3,132–$26,067 |
| Wisconsin (statewide) | 37 | $6,484 | $9,145 | $9,145 | $1,955–$14,240 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Jackson Purchase Medical Center | Kentucky (statewide) | $1,845 | 0.5× | 1 | 2026-07-10 |
| North Alabama Shoals Hospital | Alabama (statewide) | $1,906 | 0.6× | 2 | 2026-07-23 |
| Ascension Columbia St Mary'S Hospital Milwaukee Ca | Wisconsin (statewide) | $1,955 | 0.5× | 2 | 2026-01-01 |
| Livingston Hospital And Healthcare Services, Inc | Kentucky (statewide) | $1,966 | 0.5× | 2 | 2026-08-25 |
| San Juan Hospital | Utah (statewide) | $1,986 | 0.5× | 2 | 2026-04-13 |
| Cibola General Hospital | New Mexico (statewide) | $2,002 | 0.5× | 1 | 2026-09-27 |
| Ennis Regional Medical Center | Texas (statewide) | $2,035 | 0.5× | 1 | 2026-04-01 |
| Flowers Hospital | Alabama (statewide) | $2,049 | 0.6× | 1 | 2026-04-01 |
| North Alabama Medical Center | Alabama (statewide) | $2,050 | 0.6× | 1 | 2026-07-23 |
| Conemaugh Memorial Medical Center | Pennsylvania (statewide) | $2,148 | 0.6× | 1 | 2026-04-15 |
| Tomah Memorial Hospital | Wisconsin (statewide) | $2,160 | 0.6× | 5 | 2026-06-30 |
| Oaklawn Hospital | Michigan (statewide) | $2,188 | 0.6× | 2 | 2026-03-27 |
| Mainehealth Waldo Hospital | Maine (statewide) | $18,814 | 4.9× | 1 | 2025-09-09 |
| Northern Light Mayo Hospital | Maine (statewide) | $19,186 | 5.0× | 2 | 2026-03-30 |
| Providence Centralia Hospital | Washington (statewide) | $20,293 | 4.7× | 4 | 2026-04-01 |
| Parkview Wabash Hospital, Inc | Indiana (statewide) | $20,368 | 4.9× | 1 | 2026-09-01 |
| Franciscan Health Dyer | Indiana (statewide) | $20,370 | 4.9× | 3 | 2026-01-01 |
| Parkview Regional Medical Center | Indiana (statewide) | $20,580 | 5.0× | 1 | 2026-09-01 |
| Parkview Hospital | Texas (statewide) | $20,580 | 5.2× | 1 | 2026-09-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $20,636 | 4.1× | 3 | 2025-11-26 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $21,016 | 4.6× | 6 | 2026-08-27 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $22,903 | 6.0× | 1 | 2025-09-09 |
| Stanford Health Care | San Francisco Bay Area CA | $24,307 | 4.2× | 4 | 2026-04-01 |
| Logan Regional Medical Center | West Virginia (statewide) | $26,067 | 6.9× | 1 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for breast lump removal (open)?
Across 1194 hospitals in 81 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 19120, hospital outpatient is $5,880, 1.5× the same hospital's local Medicare base rate. The middle half of hospitals runs $4,241 to $8,795. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for breast lump removal (open)?
Medicare's national hospital outpatient rate for CPT 19120 is $4,000 and its surgery-center rate is $1,603, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for breast lump removal (open)?
Lowest medians: Jackson Purchase Medical Center ($1,845), North Alabama Shoals Hospital ($1,906), Ascension Columbia St Mary'S Hospital Milwaukee Ca ($1,955). Highest: Logan Regional Medical Center ($26,067), Stanford Health Care ($24,307), Mainehealth Lincoln Hospital ($22,903). Coverage: every hospital whose price file we could read.