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Breast lump removal (open) in New York: what insurers pay

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

Open in the explorerAll statesEvery bill for the whole procedure

CPT 19120

HospitalMedian across insurers× MedicareInsurersFile date
Stony Brook University Hospital Stony Brook$5,2941.1×42026-06-10
Montefiore Medical Center Bronx$5,8921.2×82026-04-01
Hospital for Special Surgery New York$10,8302.2×62026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$13,5862.8×72026-01-01

Questions

How much do insurers pay for breast lump removal (open) in New York?

4 New York hospitals post usable commercial rates for breast lump removal (open) in their federal price-transparency files. For CPT 19120, hospital outpatient, the median across 4 hospitals is $8,361, 1.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.