Price AtlasInteractive atlas · All states · techysurgeon.comBreast lumpectomy: what insurers pay
Partial mastectomy for breast cancer; 19302 adds removal of underarm lymph nodes. Localization wires (19281/19285) are add-on bills. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
Open the interactive explorerAll operations
CPT 19301: Breast Lumpectomy
1127 hospitals in 81 markets. National Medicare rate $4,000, surgery center $1,603.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 13 | $4,411 | $4,741 | $5,869 | $3,626–$10,335 |
| Alaska (statewide) | 5 | $4,468 | $5,817 | $7,458 | $2,382–$15,728 |
| Arizona (statewide) | 10 | $2,929 | $4,352 | $5,051 | $2,346–$6,047 |
| Arkansas (statewide) | 9 | $2,500 | $3,496 | $4,000 | $2,291–$5,293 |
| Atlanta GA | 6 | $5,324 | $5,324 | $6,690 | $5,324–$7,146 |
| Austin TX | 13 | $2,908 | $4,863 | $4,863 | $2,908–$5,880 |
| Boston MA | 11 | $4,710 | $5,982 | $6,279 | $3,220–$7,075 |
| California (statewide) | 57 | $5,553 | $10,593 | $14,491 | $3,639–$14,617 |
| Charlotte NC | 6 | $4,553 | $4,553 | $4,553 | $4,490–$6,472 |
| Chicago IL | 7 | $4,370 | $5,636 | $7,295 | $3,751–$7,912 |
| Cleveland OH | 10 | $4,040 | $4,806 | $6,379 | $3,256–$6,831 |
| Colorado (statewide) | 16 | $4,833 | $5,434 | $6,874 | $2,258–$19,951 |
| Columbus OH | 2 | — | — | — | $14,083–$14,083 |
| Connecticut (statewide) | 2 | — | — | — | $5,370–$16,313 |
| Dallas-Fort Worth TX | 12 | $5,900 | $5,989 | $6,730 | $5,023–$11,414 |
| Delaware (statewide) | 1 | — | — | — | $10,641–$10,641 |
| Denver CO | 15 | $5,342 | $5,415 | $6,010 | $3,920–$7,200 |
| Detroit MI | 10 | $4,519 | $4,784 | $5,775 | $4,124–$6,496 |
| Florida (statewide) | 61 | $5,360 | $6,736 | $7,933 | $2,222–$15,595 |
| Georgia (statewide) | 30 | $4,072 | $5,362 | $7,146 | $2,228–$17,296 |
| Hawaii (statewide) | 5 | $5,005 | $5,042 | $5,144 | $4,993–$8,080 |
| Houston TX | 19 | $4,807 | $5,030 | $5,228 | $4,284–$7,473 |
| Idaho (statewide) | 15 | $4,171 | $8,704 | $9,800 | $2,376–$12,885 |
| Illinois (statewide) | 25 | $4,678 | $6,149 | $7,295 | $2,880–$11,376 |
| Indiana (statewide) | 34 | $6,214 | $9,052 | $15,922 | $3,529–$24,804 |
| Indianapolis IN | 3 | — | — | — | $8,718–$29,799 |
| Iowa (statewide) | 23 | $4,842 | $6,540 | $7,600 | $2,062–$10,337 |
| Kansas (statewide) | 16 | $4,969 | $5,668 | $7,101 | $1,916–$15,728 |
| Kentucky (statewide) | 15 | $3,831 | $4,603 | $5,190 | $1,845–$7,524 |
| Las Vegas NV | 1 | — | — | — | $3,010–$3,010 |
| Los Angeles CA | 17 | $5,609 | $7,004 | $8,816 | $5,080–$20,636 |
| Louisiana (statewide) | 24 | $3,581 | $4,032 | $5,025 | $2,967–$9,826 |
| Maine (statewide) | 16 | $15,691 | $17,807 | $18,216 | $8,358–$22,903 |
| Maryland (statewide) | 1 | — | — | — | $3,356–$3,356 |
| Massachusetts (statewide) | 6 | $3,599 | $4,469 | $4,726 | $3,220–$5,291 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $5,752–$5,752 |
| Michigan (statewide) | 28 | $2,738 | $4,168 | $4,701 | $2,188–$6,578 |
| Minneapolis-St. Paul MN | 8 | $4,092 | $4,114 | $5,073 | $2,740–$8,242 |
| Minnesota (statewide) | 12 | $7,936 | $10,456 | $12,441 | $4,114–$16,845 |
| Mississippi (statewide) | 19 | $4,268 | $4,676 | $5,260 | $1,786–$10,678 |
| Missouri (statewide) | 17 | $5,023 | $6,262 | $6,431 | $2,866–$10,324 |
| Montana (statewide) | 4 | — | — | — | $6,181–$11,218 |
| Nashville TN | 7 | $3,536 | $3,603 | $3,662 | $3,411–$3,888 |
| Nebraska (statewide) | 12 | $7,431 | $8,620 | $8,645 | $4,246–$18,020 |
| Nevada (statewide) | 2 | — | — | — | $7,453–$7,879 |
| New Hampshire (statewide) | 6 | $9,980 | $10,696 | $12,564 | $8,425–$17,533 |
| New Jersey (statewide) | 14 | $4,443 | $5,445 | $7,288 | $4,184–$11,208 |
| New Mexico (statewide) | 9 | $4,293 | $6,686 | $11,254 | $2,002–$13,842 |
| New York (statewide) | 32 | $3,904 | $5,880 | $8,389 | $2,657–$12,362 |
| New York City | 7 | $3,897 | $3,904 | $5,516 | $3,871–$13,586 |
| North Carolina (statewide) | 7 | $4,649 | $6,331 | $7,939 | $3,668–$9,986 |
| North Dakota (statewide) | 5 | $6,625 | $6,731 | $7,705 | $5,176–$8,709 |
| Ohio (statewide) | 38 | $4,161 | $8,041 | $10,564 | $2,012–$15,050 |
| Oklahoma (statewide) | 7 | $6,886 | $7,968 | $8,666 | $6,086–$10,430 |
| Oregon (statewide) | 10 | $9,806 | $11,285 | $13,302 | $7,972–$17,385 |
| Pennsylvania (statewide) | 41 | $4,781 | $6,826 | $11,302 | $2,297–$26,459 |
| Philadelphia PA | 11 | $5,030 | $5,413 | $6,644 | $4,580–$11,208 |
| Phoenix AZ | 8 | $3,033 | $3,065 | $3,153 | $2,936–$3,418 |
| Pittsburgh PA | 10 | $3,773 | $5,953 | $7,953 | $3,059–$9,638 |
| Portland OR | 9 | $11,261 | $11,261 | $12,994 | $10,767–$12,994 |
| Rhode Island (statewide) | 5 | $5,033 | $7,401 | $8,547 | $4,364–$8,938 |
| Richmond VA | 3 | — | — | — | $6,380–$7,051 |
| 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 | $9,586 | $9,748 | $10,418 | $7,062–$13,774 |
| South Carolina (statewide) | 18 | $8,604 | $10,036 | $14,185 | $3,152–$14,603 |
| South Dakota (statewide) | 3 | — | — | — | $5,909–$18,496 |
| St. Louis MO | 2 | — | — | — | $2,975–$3,234 |
| Tampa FL | 6 | $6,342 | $6,342 | $6,342 | $5,195–$10,426 |
| Tennessee (statewide) | 26 | $3,035 | $3,198 | $3,876 | $1,919–$8,042 |
| Texas (statewide) | 80 | $4,067 | $5,023 | $5,857 | $2,035–$20,580 |
| Utah (statewide) | 8 | $3,454 | $3,523 | $3,606 | $2,034–$13,098 |
| Vermont (statewide) | 2 | — | — | — | $2,165–$5,472 |
| Virginia (statewide) | 20 | $7,253 | $10,788 | $12,599 | $4,936–$13,270 |
| Washington (statewide) | 14 | $8,414 | $9,447 | $10,967 | $3,908–$20,293 |
| Washington DC | 8 | $5,822 | $5,822 | $5,956 | $5,079–$6,372 |
| West Virginia (statewide) | 6 | $5,694 | $9,634 | $14,809 | $4,250–$26,067 |
| Wisconsin (statewide) | 41 | $6,026 | $7,513 | $9,145 | $2,079–$14,240 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Greene County Hospital | Mississippi (statewide) | $1,786 | 0.5× | 1 | 2026-06-05 |
| Jackson Purchase Medical Center | Kentucky (statewide) | $1,845 | 0.5× | 1 | 2026-07-10 |
| Salina Surgical Hospital | Kansas (statewide) | $1,916 | 0.5× | 1 | 2026-01-15 |
| Rhea Medical Center | Tennessee (statewide) | $1,919 | 0.5× | 1 | 2026-03-30 |
| Cibola General Hospital | New Mexico (statewide) | $2,002 | 0.5× | 1 | 2026-09-27 |
| Vanderbilt Bedford Hospital | Tennessee (statewide) | $2,010 | 0.6× | 4 | 2025-10-01 |
| Vanderbilt Tullahoma-Harton Hospital | Tennessee (statewide) | $2,010 | 0.6× | 4 | 2025-10-01 |
| Nationwide Children'S Hospital | Ohio (statewide) | $2,012 | 0.5× | 1 | 2026-04-01 |
| Blue Mountain Hospital | Utah (statewide) | $2,034 | 0.5× | 1 | 2026-09-01 |
| Ennis Regional Medical Center | Texas (statewide) | $2,035 | 0.5× | 1 | 2026-04-01 |
| Clarinda Regional Health Center | Iowa (statewide) | $2,062 | 0.6× | 1 | 2026-07-13 |
| Thedacare Medical Center - Wild Rose Inc | Wisconsin (statewide) | $2,079 | 0.6× | 1 | 2026-08-08 |
| 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 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $22,903 | 6.0× | 1 | 2025-09-09 |
| Franciscan Health Crown Point | Indiana (statewide) | $23,089 | 5.6× | 3 | 2026-01-01 |
| Franciscan Health Munster | Indiana (statewide) | $23,761 | 5.7× | 3 | 2026-01-01 |
| Franciscan Health Michigan City | Indiana (statewide) | $24,226 | 5.8× | 3 | 2026-01-01 |
| Stanford Health Care | San Francisco Bay Area CA | $24,307 | 4.2× | 4 | 2026-04-01 |
| Saint Joseph Regional Medical Center - Plymouth | Indiana (statewide) | $24,804 | 6.0× | 22 | 2026-03-31 |
| Logan Regional Medical Center | West Virginia (statewide) | $26,067 | 6.9× | 1 | 2026-04-01 |
| Wellspan Chambersburg Hospital | Pennsylvania (statewide) | $26,459 | 6.7× | 2 | 2026-01-01 |
| Franciscan Health Mooresville | Indianapolis IN | $29,799 | 7.2× | 3 | 2026-01-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
CPT 19302: Breast Lumpectomy
973 hospitals in 77 markets. National Medicare rate $6,784, surgery center $2,848.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 9 | $6,112 | $7,168 | $10,335 | $5,098–$19,830 |
| Alaska (statewide) | 4 | — | — | — | $6,137–$23,552 |
| Arizona (statewide) | 9 | $5,939 | $6,122 | $8,705 | $4,112–$11,788 |
| Arkansas (statewide) | 5 | $4,353 | $4,536 | $5,000 | $4,324–$6,044 |
| Atlanta GA | 6 | $8,452 | $8,452 | $8,863 | $8,452–$9,000 |
| Austin TX | 13 | $5,028 | $7,996 | $7,996 | $5,028–$9,972 |
| Boston MA | 11 | $7,710 | $10,266 | $10,904 | $5,621–$12,349 |
| California (statewide) | 52 | $9,599 | $19,242 | $24,678 | $5,903–$26,910 |
| Charlotte NC | 5 | $7,753 | $7,753 | $7,753 | $7,648–$7,753 |
| Chicago IL | 7 | $8,687 | $9,928 | $10,607 | $6,520–$15,232 |
| Cleveland OH | 10 | $6,634 | $6,910 | $10,550 | $6,148–$11,156 |
| Colorado (statewide) | 14 | $8,086 | $9,350 | $11,604 | $6,521–$14,265 |
| Connecticut (statewide) | 1 | — | — | — | $7,060–$7,060 |
| Dallas-Fort Worth TX | 11 | $10,326 | $10,920 | $13,392 | $9,738–$19,070 |
| Denver CO | 15 | $9,537 | $11,050 | $12,182 | $5,904–$12,942 |
| Detroit MI | 6 | $5,026 | $7,495 | $8,080 | $3,664–$8,165 |
| Florida (statewide) | 55 | $8,664 | $9,766 | $12,864 | $6,677–$18,047 |
| Georgia (statewide) | 27 | $6,920 | $8,452 | $9,000 | $3,567–$24,443 |
| Hawaii (statewide) | 4 | — | — | — | $8,118–$15,708 |
| Houston TX | 19 | $8,274 | $8,330 | $9,320 | $7,870–$12,674 |
| Idaho (statewide) | 11 | $9,349 | $15,460 | $16,565 | $5,943–$19,758 |
| Illinois (statewide) | 24 | $8,539 | $9,398 | $10,760 | $4,892–$19,375 |
| Indiana (statewide) | 27 | $8,864 | $14,051 | $20,580 | $3,958–$36,385 |
| Indianapolis IN | 1 | — | — | — | $19,830–$19,830 |
| Iowa (statewide) | 16 | $7,396 | $9,749 | $13,059 | $4,224–$16,017 |
| Kansas (statewide) | 12 | $8,444 | $9,320 | $10,862 | $5,348–$23,552 |
| Kentucky (statewide) | 14 | $7,262 | $8,017 | $9,091 | $4,231–$10,918 |
| Las Vegas NV | 2 | — | — | — | $5,480–$9,123 |
| Los Angeles CA | 17 | $9,513 | $11,927 | $14,298 | $8,383–$26,623 |
| Louisiana (statewide) | 23 | $6,376 | $8,248 | $9,862 | $5,237–$13,811 |
| Maine (statewide) | 15 | $26,722 | $30,650 | $31,024 | $16,368–$39,005 |
| Maryland (statewide) | 1 | — | — | — | $3,314–$3,314 |
| Massachusetts (statewide) | 3 | — | — | — | $7,324–$9,116 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $12,176–$12,176 |
| Michigan (statewide) | 23 | $5,221 | $6,616 | $6,740 | $3,795–$8,614 |
| Minneapolis-St. Paul MN | 7 | $6,301 | $6,301 | $9,384 | $6,150–$14,037 |
| Minnesota (statewide) | 11 | $13,574 | $18,303 | $21,588 | $6,301–$28,819 |
| Mississippi (statewide) | 13 | $7,989 | $8,649 | $9,065 | $7,067–$18,109 |
| Missouri (statewide) | 11 | $9,722 | $10,324 | $10,601 | $7,063–$13,429 |
| Montana (statewide) | 4 | — | — | — | $13,004–$19,393 |
| Nashville TN | 8 | $5,746 | $6,486 | $6,592 | $3,649–$7,048 |
| Nebraska (statewide) | 10 | $10,701 | $13,500 | $13,875 | $5,480–$28,144 |
| Nevada (statewide) | 3 | — | — | — | $5,480–$5,512 |
| New Hampshire (statewide) | 6 | $15,546 | $20,436 | $22,422 | $12,993–$29,735 |
| New Jersey (statewide) | 20 | $7,567 | $7,796 | $10,417 | $7,218–$17,947 |
| New Mexico (statewide) | 6 | $6,280 | $7,081 | $8,298 | $3,397–$17,502 |
| New York (statewide) | 28 | $7,636 | $9,900 | $14,228 | $5,192–$21,518 |
| New York City | 7 | $5,208 | $9,328 | $10,678 | $5,196–$17,737 |
| North Carolina (statewide) | 4 | — | — | — | $6,783–$16,699 |
| North Dakota (statewide) | 5 | $10,698 | $11,282 | $11,515 | $10,000–$14,899 |
| Ohio (statewide) | 34 | $8,976 | $13,610 | $17,918 | $4,277–$25,522 |
| Oklahoma (statewide) | 8 | $10,140 | $12,313 | $14,141 | $3,331–$17,947 |
| Oregon (statewide) | 7 | $16,700 | $18,470 | $24,545 | $14,913–$29,850 |
| Pennsylvania (statewide) | 26 | $9,844 | $14,091 | $22,694 | $4,469–$30,545 |
| Philadelphia PA | 11 | $8,764 | $9,128 | $11,745 | $8,400–$13,760 |
| Phoenix AZ | 8 | $5,927 | $5,975 | $6,012 | $5,784–$6,122 |
| Pittsburgh PA | 5 | $13,244 | $13,644 | $14,281 | $8,362–$16,414 |
| Portland OR | 9 | $18,978 | $18,978 | $22,773 | $18,311–$22,773 |
| Rhode Island (statewide) | 3 | — | — | — | $12,661–$13,490 |
| Richmond VA | 3 | — | — | — | $10,230–$11,296 |
| Rio Grande Valley TX | 4 | — | — | — | $8,336–$11,018 |
| Salt Lake City UT | 9 | $5,937 | $6,076 | $6,076 | $5,876–$6,276 |
| San Antonio TX | 3 | — | — | — | $7,312–$7,960 |
| San Diego CA | 7 | $14,519 | $14,519 | $14,612 | $11,957–$15,748 |
| San Francisco Bay Area CA | 4 | — | — | — | $11,092–$46,832 |
| Seattle-Tacoma WA | 16 | $17,055 | $17,870 | $23,038 | $16,734–$25,940 |
| South Carolina (statewide) | 19 | $12,139 | $16,330 | $20,122 | $6,950–$29,053 |
| South Dakota (statewide) | 3 | — | — | — | $8,285–$32,415 |
| Tampa FL | 6 | $10,540 | $10,540 | $10,540 | $7,051–$21,407 |
| Tennessee (statewide) | 22 | $5,397 | $5,780 | $7,732 | $3,514–$10,956 |
| Texas (statewide) | 74 | $6,922 | $9,276 | $12,478 | $4,118–$36,385 |
| Utah (statewide) | 6 | $5,876 | $5,906 | $5,937 | $5,788–$6,076 |
| Virginia (statewide) | 18 | $16,746 | $19,433 | $21,264 | $8,488–$22,520 |
| Washington (statewide) | 11 | $16,821 | $19,098 | $24,059 | $6,718–$34,077 |
| Washington DC | 9 | $9,511 | $9,511 | $9,511 | $7,587–$9,619 |
| West Virginia (statewide) | 2 | — | — | — | $7,239–$26,403 |
| Wisconsin (statewide) | 30 | $11,985 | $12,371 | $12,925 | $3,473–$20,348 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Atlantic General Hospital | Maryland (statewide) | $3,314 | 0.5× | 1 | 2026-04-10 |
| St Mary'S Regional Medical Center | Oklahoma (statewide) | $3,331 | 0.5× | 1 | 2026-09-01 |
| Cibola General Hospital | New Mexico (statewide) | $3,397 | 0.5× | 1 | 2026-09-27 |
| Ascension Columbia St Mary'S Hospital Milwaukee Ca | Wisconsin (statewide) | $3,473 | 0.5× | 2 | 2026-01-01 |
| Livingston Regional Hospital | Tennessee (statewide) | $3,514 | 0.6× | 2 | 2026-04-01 |
| Adventhealth Murray | Georgia (statewide) | $3,567 | 0.6× | 1 | 2026-04-01 |
| Adventhealth Gordon | Georgia (statewide) | $3,589 | 0.6× | 2 | 2026-04-01 |
| Ascension Saint Thomas Rutherford | Nashville TN | $3,649 | 0.6× | 1 | 2026-01-01 |
| Trinity Health Oakland Hospital | Detroit MI | $3,664 | 0.6× | 22 | 2026-03-31 |
| Henry Ford Health Providence Southfield Hospital | Michigan (statewide) | $3,795 | 0.6× | 1 | 2026-01-01 |
| Henry Ford Genesys Hospital | Michigan (statewide) | $3,850 | 0.6× | 2 | 2026-01-01 |
| Trinity Health Ann Arbor Hospital | Michigan (statewide) | $3,910 | 0.6× | 16 | 2026-03-31 |
| Northern Light Mercy Hospital | Maine (statewide) | $31,024 | 4.6× | 2 | 2026-04-15 |
| Northern Light Blue Hill Memorial Hospital | Maine (statewide) | $31,024 | 4.8× | 2 | 2026-03-30 |
| Northern Light C A Dean Hospital | Maine (statewide) | $31,024 | 4.8× | 2 | 2026-03-30 |
| Northern Light Sebasticook Valley Hospital | Maine (statewide) | $31,024 | 4.8× | 2 | 2026-03-30 |
| Mainehealth Waldo Hospital | Maine (statewide) | $32,042 | 4.9× | 1 | 2025-09-09 |
| Same Day Surgery Center Llc | South Dakota (statewide) | $32,415 | 4.8× | 2 | 2026-09-10 |
| Northern Light Mayo Hospital | Maine (statewide) | $32,674 | 5.0× | 2 | 2026-03-30 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $34,077 | 4.4× | 5 | 2026-08-27 |
| Parkview Regional Medical Center | Indiana (statewide) | $36,385 | 5.2× | 1 | 2026-09-01 |
| Parkview Hospital | Texas (statewide) | $36,385 | 5.5× | 1 | 2026-09-01 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $39,005 | 6.0× | 1 | 2025-09-09 |
| Stanford Health Care | San Francisco Bay Area CA | $46,832 | 4.8× | 4 | 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 lumpectomy?
Across 1127 hospitals in 81 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 19301, hospital outpatient is $5,892, 1.5× the same hospital's local Medicare base rate. The middle half of hospitals runs $4,387 to $8,723. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for breast lumpectomy?
Medicare's national hospital outpatient rate for CPT 19301 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 lumpectomy?
Lowest medians: Greene County Hospital ($1,786), Jackson Purchase Medical Center ($1,845), Salina Surgical Hospital ($1,916). Highest: Franciscan Health Mooresville ($29,799), Wellspan Chambersburg Hospital ($26,459), Logan Regional Medical Center ($26,067). Coverage: every hospital whose price file we could read.