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

Posted commercial rates at 40 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
Bronxcare Hospital Center Bronx$3,5140.7×42026-05-05
Garnet Health Medical Center Catskills Harris$3,8270.8×92026-04-01
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$4,2850.9×72026-09-05
Jacobi Medical Center Bronx$4,2850.9×72026-09-05
Elmhurst Hospital Center Elmhurst$4,2850.9×72026-09-05
South Brooklyn Health Brooklyn$4,2850.9×72026-09-05
Metropolitan Hospital Center New York$4,2850.9×72026-09-05
Kings County Hospital Center Brooklyn$4,2850.9×72026-09-05
Bellevue Hospital Center New York$4,2850.9×72026-09-05
Queens Hospital Center Jamaica$4,2850.9×72026-09-05
Harlem Hospital Center New York$4,2850.9×72026-09-05
Nassau University Medical Center East Meadow$4,5310.9×12025-10-28
Columbia Memorial Hospital Hudson$4,5730.9×52025-12-31
Oneida Health Oneida$4,6120.9×72026-09-27
St John'S Riverside Hospital Yonkers$4,8641.0×92026-03-27
Garnet Health Medical Center Middletown$4,8811.0×92026-04-01
Saratoga Hospital Saratoga Springs$4,9341.0×32025-12-31
Glens Falls Hospital Glens Falls$5,2321.1×52025-12-31
Stony Brook University Hospital Stony Brook$5,2941.1×42026-06-10
Wynn Hospital Utica$5,3271.1×152026-08-07
Maimonides Medical Center Brooklyn$5,9081.2×72026-04-01
Samaritan Hospital Troy$6,1811.3×242026-03-31
Erie County Medical Center Buffalo$6,1901.3×62026-08-25
Montefiore Mount Vernon Hospital Mount Vernon$6,2341.3×102026-04-01
Albany Medical Center Hospital Albany$6,6611.4×52025-12-31
Highland Hospital Rochester$7,0181.4×42026-07-01
Montefiore Medical Center Bronx$7,1201.5×132026-04-01
Roswell Park Cancer Institute Buffalo$7,5411.5×32026-04-01
Nathan Littauer Hospital Gloversville$7,8321.6×62026-03-04
St Joseph'S Medical Center Yonkers$7,8771.6×12026-07-13
Strong Memorial Hospital Rochester$8,3861.7×42026-07-01
Jones Memorial Hospital Wellsville$8,3991.7×72026-01-01
Geneva General Hospital Geneva$8,6231.8×32026-08-27
Samaritan Medical Center Watertown$8,6701.8×32026-02-02
Crouse Hospital Syracuse$8,7781.8×32026-05-19
Nicholas H Noyes Memorial Hospital Dansville$10,0142.0×62026-01-01
St James Hospital Hornell$11,4802.4×52026-01-01
Hospital for Special Surgery New York$12,2452.5×142026-04-01
Medina Memorial Hospital Medina$12,3622.5×22026-07-29
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$13,5862.8×92026-01-01

Questions

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

40 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 40 hospitals is $5,618, 1.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.