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: Partial Mastectomy
239 hospitals in 36 markets. National Medicare rate $4,000, surgery center $1,603.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 6 | $5,324 | $5,324 | $6,690 | $5,324–$7,146 |
| Austin TX | 13 | $2,908 | $5,768 | $5,926 | $2,908–$5,926 |
| Boston MA | 11 | $4,351 | $5,423 | $6,100 | $2,812–$6,777 |
| California (statewide) | 1 | — | — | — | $11,855–$11,855 |
| Chicago IL | 7 | $4,370 | $5,636 | $7,295 | $3,751–$7,912 |
| Cleveland OH | 10 | $3,472 | $5,896 | $7,956 | $3,174–$8,019 |
| Columbus OH | 2 | — | — | — | $14,083–$14,083 |
| Dallas-Fort Worth TX | 13 | $6,093 | $7,725 | $8,580 | $6,093–$11,414 |
| Denver CO | 15 | $4,300 | $4,971 | $6,010 | $3,920–$9,838 |
| Detroit MI | 10 | $4,560 | $5,029 | $5,678 | $4,112–$6,496 |
| Georgia (statewide) | 1 | — | — | — | $5,495–$5,495 |
| Houston TX | 16 | $4,932 | $5,052 | $5,571 | $3,772–$5,571 |
| Indianapolis IN | 1 | — | — | — | $8,718–$8,718 |
| Kansas (statewide) | 1 | — | — | — | $5,738–$5,738 |
| Las Vegas NV | 1 | — | — | — | $4,453–$4,453 |
| Los Angeles CA | 16 | $5,410 | $6,882 | $7,991 | $4,688–$20,636 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $5,038–$5,038 |
| Minneapolis-St. Paul MN | 8 | $4,080 | $4,114 | $4,698 | $2,740–$9,319 |
| Nashville TN | 7 | $3,536 | $3,603 | $3,662 | $3,411–$3,888 |
| New York City | 7 | $4,122 | $4,128 | $5,106 | $4,099–$13,586 |
| Ohio (statewide) | 1 | — | — | — | $7,761–$7,761 |
| Pennsylvania (statewide) | 1 | — | — | — | $10,582–$10,582 |
| Philadelphia PA | 11 | $5,030 | $5,308 | $6,570 | $4,338–$11,208 |
| Phoenix AZ | 8 | $3,033 | $3,065 | $3,153 | $2,936–$3,418 |
| Pittsburgh PA | 10 | $4,004 | $7,819 | $10,199 | $3,058–$12,223 |
| Portland OR | 8 | $11,261 | $11,261 | $12,994 | $11,261–$12,994 |
| Richmond VA | 3 | — | — | — | $6,342–$6,548 |
| Rio Grande Valley TX | 6 | $4,120 | $4,636 | $5,646 | $3,938–$5,830 |
| San Antonio TX | 3 | — | — | — | $3,571–$5,500 |
| San Diego CA | 6 | $5,036 | $5,036 | $5,638 | $5,036–$9,732 |
| San Francisco Bay Area CA | 4 | — | — | — | $6,682–$24,307 |
| Seattle-Tacoma WA | 14 | $11,613 | $11,882 | $14,085 | $7,277–$15,078 |
| St. Louis MO | 2 | — | — | — | $4,953–$4,953 |
| Tampa FL | 6 | $6,342 | $6,342 | $6,342 | $3,812–$10,426 |
| Washington DC | 8 | $5,685 | $6,056 | $6,056 | $5,079–$6,056 |
| Wisconsin (statewide) | 1 | — | — | — | $6,484–$6,484 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $2,740 | 0.7× | 3 | 2026-03-31 |
| South Shore Hospital | Boston MA | $2,812 | 0.6× | 2 | 2026-04-01 |
| Ascension Seton Medical Center Austin | Austin TX | $2,908 | 0.7× | 1 | 2026-01-01 |
| Dell Seton Med Center At The University Of Tx | Austin TX | $2,908 | 0.7× | 1 | 2026-01-01 |
| Ascension Seton Southwest | Austin TX | $2,908 | 0.7× | 1 | 2026-01-01 |
| Ascension Seton Northwest | Austin TX | $2,908 | 0.7× | 1 | 2026-01-01 |
| Cedar Park Regional Medical Center | Austin TX | $2,908 | 0.7× | 1 | 2026-01-01 |
| Ascension Seton Hays | Austin TX | $2,908 | 0.7× | 1 | 2026-01-01 |
| Chandler Regional Medical Center (Dignity) | Phoenix AZ | $2,936 | 0.7× | 2 | 2026-02-28 |
| Mercy Gilbert Medical Center (Dignity) | Phoenix AZ | $2,936 | 0.7× | 2 | 2026-02-28 |
| Upmc St Margaret | Pittsburgh PA | $3,058 | 0.8× | 1 | 2026-03-06 |
| Upmc East | Pittsburgh PA | $3,058 | 0.8× | 1 | 2026-03-06 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $3,065 | 0.7× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $3,065 | 0.7× | 5 | 2026-04-01 |
| HonorHealth John C. Lincoln Medical Center | Phoenix AZ | $3,065 | 0.7× | 5 | 2026-04-01 |
| HonorHealth Deer Valley Medical Center | Phoenix AZ | $3,065 | 0.7× | 5 | 2026-04-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $3,174 | 0.9× | 4 | 2026-07-14 |
| University Hospitals St. John Medical Center | Cleveland OH | $3,252 | 0.9× | 4 | 2026-07-14 |
| MetroHealth System | Cleveland OH | $3,316 | 0.9× | 4 | 2026-04-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $3,411 | 0.9× | 1 | 2026-01-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $3,418 | 0.8× | 4 | 2026-04-01 |
| HonorHealth Sonoran Crossing Medical Center | Phoenix AZ | $3,418 | 0.8× | 4 | 2026-04-01 |
| Emerson Hospital - | Boston MA | $3,458 | 0.7× | 2 | 2026-05-18 |
| TriStar Skyline Medical Center | Nashville TN | $3,536 | 0.9× | 5 | 2026-09-01 |
| TriStar Summit Medical Center | Nashville TN | $3,536 | 0.9× | 5 | 2026-09-01 |
| Magee Womens Hospital Of Upmc Health System | Pittsburgh PA | $3,545 | 0.9× | 1 | 2026-03-06 |
| University Health System | San Antonio TX | $3,571 | 0.9× | 4 | 2025-10-14 |
| TriStar StoneCrest Medical Center | Nashville TN | $3,603 | 1.0× | 5 | 2026-09-01 |
| TriStar Hendersonville Medical Center | Nashville TN | $3,603 | 1.0× | 5 | 2026-09-01 |
| Vanderbilt Wilson County Hospital | Nashville TN | $3,721 | 1.0× | 4 | 2025-10-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $3,751 | 0.9× | 3 | 2026-04-01 |
| Baylor St. Luke's Medical Center | Houston TX | $3,772 | 1.0× | 6 | 2026-02-28 |
| Tampa General Hospital | Tampa FL | $3,812 | 0.9× | 2 | 2026-04-01 |
| Vanderbilt University Medical Center | Nashville TN | $3,888 | 1.0× | 4 | 2025-10-01 |
| Uchealth Highlands Ranch Hospital | Denver CO | $3,920 | 0.9× | 4 | 2025-11-01 |
| Knapp Medical Center | Rio Grande Valley TX | $3,938 | 1.0× | 1 | 2026-09-01 |
| University Hospitals Ahuja Medical Center | Cleveland OH | $3,942 | 1.1× | 1 | 2026-07-14 |
| Endeavor Health Edward Hospital | Chicago IL | $4,021 | 1.0× | 2 | 2026-04-01 |
| M Health Fairview Southdale Hospital | Minneapolis-St. Paul MN | $4,024 | 1.0× | 4 | 2026-02-06 |
| Beverly Hospital Corporation | Boston MA | $4,086 | 0.9× | 4 | 2026-04-01 |
| M Health Fairview University of Minnesota Medical Center | Minneapolis-St. Paul MN | $4,098 | 1.0× | 4 | 2026-02-06 |
| Elmhurst Hospital Center | New York City | $4,099 | 0.8× | 6 | 2026-09-05 |
| Harlingen Medical Center | Rio Grande Valley TX | $4,100 | 1.0× | 3 | 2026-09-01 |
| Henry Ford Health Hospital | Detroit MI | $4,112 | 1.1× | 3 | 2026-06-28 |
| M Health Fairview Lakes Medical Center | Minneapolis-St. Paul MN | $4,114 | 1.0× | 4 | 2026-02-05 |
| M Health Fairview Northland Medical Center | Minneapolis-St. Paul MN | $4,114 | 1.0× | 4 | 2026-01-29 |
| M Health Fairview Ridges Hospital | Minneapolis-St. Paul MN | $4,114 | 1.0× | 4 | 2026-02-06 |
| South Brooklyn Health | New York City | $4,118 | 0.8× | 6 | 2026-09-05 |
| Jacobi Medical Center | New York City | $4,126 | 0.8× | 6 | 2026-09-05 |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER | New York City | $4,128 | 0.8× | 6 | 2026-09-05 |
| Trinity Health Oakland Hospital | Detroit MI | $4,131 | 1.1× | 16 | 2026-03-31 |
| Mission Regional Medical Center | Rio Grande Valley TX | $4,181 | 1.1× | 1 | 2026-09-01 |
| Adventhealth Porter | Denver CO | $4,300 | 1.0× | 2 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $4,300 | 1.0× | 2 | 2026-04-01 |
| Adventhealth Littleton | Denver CO | $4,300 | 1.0× | 2 | 2026-04-01 |
| Adventhealth Castle Rock | Denver CO | $4,300 | 1.0× | 2 | 2026-04-01 |
| Jefferson Abington Hospital | Philadelphia PA | $4,338 | 1.1× | 4 | 2026-09-15 |
| University Medical Center of Southern Nevada | Las Vegas NV | $4,453 | 1.1× | 8 | 2026-07-01 |
| Mclaren Port Huron | Detroit MI | $4,512 | 1.2× | 1 | 2025-12-31 |
| Hca Houston Healthcare Clear Lake | Houston TX | $4,522 | 1.1× | 5 | 2026-09-01 |
| New England Baptist Hospital | Boston MA | $4,616 | 1.0× | 4 | 2026-04-01 |
| Chi St Luke's Health Brazosport | Houston TX | $4,646 | 1.2× | 4 | 2026-02-28 |
| Providence Cedars Sinai Tarzana Medical Center | Los Angeles CA | $4,688 | 0.9× | 4 | 2026-04-01 |
| Trinity Health Livonia Hospital | Detroit MI | $4,705 | 1.2× | 15 | 2026-03-31 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $4,718 | 1.1× | 2 | 2026-04-01 |
| Providence Saint Joseph Medical Ctr | Los Angeles CA | $4,738 | 0.9× | 4 | 2026-04-01 |
| Montefiore Medical Center | New York City | $4,756 | 1.0× | 8 | 2026-04-01 |
| Riddle Memorial Hospital | Philadelphia PA | $4,788 | 1.2× | 2 | 2026-04-01 |
| HCA HealthONE Swedish | Denver CO | $4,802 | 1.2× | 4 | 2026-09-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $4,863 | 1.3× | 1 | 2026-01-01 |
| Houston Methodist Baytown Hospital | Houston TX | $4,932 | 1.3× | 5 | 2026-04-01 |
| Houston Methodist Sugar Land Hospital | Houston TX | $4,932 | 1.3× | 5 | 2026-04-01 |
| Houston Methodist West Hospital | Houston TX | $4,932 | 1.3× | 5 | 2026-04-01 |
| Houston Methodist The Woodlands Hospital | Houston TX | $4,932 | 1.3× | 5 | 2026-04-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $4,948 | 1.2× | 4 | 2026-09-01 |
| Mercy Hospital St Louis | St. Louis MO | $4,953 | 1.3× | 1 | 2026-06-04 |
| Mercy Hospital Jefferson | St. Louis MO | $4,953 | 1.3× | 1 | 2026-06-10 |
| Houston Methodist Hospital | Houston TX | $4,958 | 1.3× | 5 | 2026-04-01 |
| Uchealth Broomfield Hospital | Denver CO | $4,971 | 1.2× | 4 | 2025-11-01 |
| Paoli Hospital | Philadelphia PA | $5,000 | 1.3× | 2 | 2026-04-01 |
| Providence Holy Cross Medical Center | Los Angeles CA | $5,018 | 1.0× | 4 | 2026-04-01 |
| Scripps Green Hospital | San Diego CA | $5,036 | 1.0× | 1 | 2026-03-30 |
| Scripps Mercy Hospital | San Diego CA | $5,036 | 1.0× | 1 | 2026-03-30 |
| Scripps Memorial Hospital La Jolla | San Diego CA | $5,036 | 1.0× | 1 | 2026-03-30 |
| Scripps Memorial Hospital - Encinitas | San Diego CA | $5,036 | 1.0× | 1 | 2026-03-30 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $5,038 | 1.2× | 3 | 2026-06-15 |
| Bryn Mawr Hospital | Philadelphia PA | $5,061 | 1.3× | 2 | 2026-04-01 |
| HCA HealthONE Sky Ridge | Denver CO | $5,066 | 1.2× | 4 | 2026-09-01 |
| Spotsylvania Regional Medical Center | Washington DC | $5,079 | 1.3× | 3 | 2026-09-01 |
| Doctors Hospital at Renaissance | Rio Grande Valley TX | $5,092 | 1.3× | 2 | 2026-04-01 |
| Lankenau Medical Center | Philadelphia PA | $5,119 | 1.3× | 2 | 2026-04-01 |
| St. Luke's Health The Woodlands Hospital | Houston TX | $5,145 | 1.3× | 6 | 2026-02-28 |
| St. Luke's Health Sugar Land Hospital | Houston TX | $5,145 | 1.3× | 6 | 2026-02-28 |
| Mclaren Lapeer Region | Detroit MI | $5,195 | 1.3× | 1 | 2025-12-31 |
| Hca Healthone Rose | Denver CO | $5,197 | 1.3× | 4 | 2026-09-01 |
| Henry Ford Health Macomb Hospital | Detroit MI | $5,274 | 1.4× | 2 | 2026-06-28 |
| Jefferson Einstein Montgomery Hospital | Philadelphia PA | $5,308 | 1.4× | 5 | 2026-09-15 |
| Emory University Hospital | Atlanta GA | $5,324 | 1.4× | 6 | 2026-04-01 |
| Emory University Hospital Midtown | Atlanta GA | $5,324 | 1.4× | 6 | 2026-04-01 |
| Emory Saint Joseph's Hospital | Atlanta GA | $5,324 | 1.4× | 6 | 2026-04-01 |
| Emory Johns Creek Hospital | Atlanta GA | $5,324 | 1.4× | 6 | 2026-04-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $5,380 | 1.4× | 1 | 2026-03-06 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $5,400 | 1.1× | 1 | 2026-04-01 |
| Providence Little Co Of Mary Med Ctr San Pedro | Los Angeles CA | $5,406 | 1.1× | 4 | 2026-04-01 |
| Providence Little Company Of Mary Med Ctr Torrance | Los Angeles CA | $5,412 | 1.1× | 4 | 2026-04-01 |
| Beth Israel Deaconess Hospital - Needham | Boston MA | $5,423 | 1.2× | 2 | 2026-04-01 |
| Maimonides Medical Center | New York City | $5,457 | 1.1× | 5 | 2026-04-01 |
| Jefferson Health-Northeast | Philadelphia PA | $5,466 | 1.4× | 5 | 2026-09-15 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $5,495 | 1.6× | 3 | 2026-04-01 |
| Methodist Hospital | San Antonio TX | $5,500 | 1.4× | 5 | 2026-09-01 |
| Mount Auburn Hospital | Boston MA | $5,500 | 1.2× | 1 | 2026-04-01 |
| Methodist Hospital Stone Oak | San Antonio TX | $5,500 | 1.4× | 5 | 2026-09-01 |
| Medina Hospital | Cleveland OH | $5,553 | 1.5× | 3 | 2026-06-15 |
| Hca Houston Healthcare Southeast | Houston TX | $5,571 | 1.4× | 5 | 2026-09-01 |
| Hca Houston Healthcare Conroe | Houston TX | $5,571 | 1.4× | 5 | 2026-09-01 |
| Hca Houston Healthcare Northwest | Houston TX | $5,571 | 1.4× | 5 | 2026-09-01 |
| Hca Houston Healthcare Medical Center | Houston TX | $5,571 | 1.4× | 5 | 2026-09-01 |
| Hca Houston Healthcare Tomball | Houston TX | $5,571 | 1.4× | 5 | 2026-09-01 |
| Hca Houston Healthcare Kingwood | Houston TX | $5,571 | 1.4× | 5 | 2026-09-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $5,636 | 1.3× | 3 | 2026-04-01 |
| Usc Verdugo Hills Hospital | Los Angeles CA | $5,667 | 1.1× | 4 | 2026-04-01 |
| Reston Hospital Center | Washington DC | $5,676 | 1.4× | 4 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $5,688 | 1.4× | 4 | 2026-09-01 |
| Temple University Hospital | Philadelphia PA | $5,732 | 1.4× | 6 | 2026-04-13 |
| Menorah Medical Center | Kansas (statewide) | $5,738 | 1.6× | 5 | 2026-09-01 |
| Scott & White Hospital-Round Rock | Austin TX | $5,768 | 1.5× | 4 | 2026-06-13 |
| Baylor Scott & White Medical Center ? Pflugerville | Austin TX | $5,768 | 1.5× | 4 | 2026-06-13 |
| Baylor Scott & White Medical Center- Austin | Austin TX | $5,768 | 1.5× | 4 | 2026-06-13 |
| Harper University Hospital | Detroit MI | $5,812 | 1.5× | 1 | 2026-09-02 |
| Huron Valley-Sinai Hospital | Detroit MI | $5,812 | 1.5× | 1 | 2026-05-20 |
| Valley Regional Medical Center | Rio Grande Valley TX | $5,830 | 1.5× | 5 | 2026-09-01 |
| Rio Grande Regional Hospital | Rio Grande Valley TX | $5,830 | 1.5× | 5 | 2026-09-01 |
| Denver Health Medical Center | Denver CO | $5,836 | 1.4× | 4 | 2026-04-30 |
| Tri-City Medical Center | San Diego CA | $5,838 | 1.2× | 4 | 2026-05-29 |
| St David's Medical Center | Austin TX | $5,926 | 1.5× | 5 | 2026-09-01 |
| St David's South Austin Medical Center | Austin TX | $5,926 | 1.5× | 5 | 2026-09-01 |
| Round Rock Medical Center | Austin TX | $5,926 | 1.5× | 5 | 2026-09-01 |
| North Austin Medical Center | Austin TX | $5,926 | 1.5× | 5 | 2026-09-01 |
| Anna Jaques Hospital | Boston MA | $5,982 | 1.3× | 3 | 2026-04-01 |
| Inova Alexandria Hospital | Washington DC | $6,056 | 1.5× | 6 | 2026-04-01 |
| Inova Loudoun Hospital | Washington DC | $6,056 | 1.5× | 6 | 2026-04-01 |
| Inova Fairfax Hospital | Washington DC | $6,056 | 1.5× | 6 | 2026-04-01 |
| Inova Fair Oaks Hospital | Washington DC | $6,056 | 1.5× | 6 | 2026-04-01 |
| Inova Mount Vernon Hospital | Washington DC | $6,056 | 1.5× | 6 | 2026-04-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $6,093 | 1.6× | 3 | 2026-06-29 |
| Baylor Scott & White Medical Center - Grapevine | Dallas-Fort Worth TX | $6,093 | 1.6× | 3 | 2026-06-29 |
| Baylor Scott & White Medical Center - Lake Pointe | Dallas-Fort Worth TX | $6,093 | 1.6× | 3 | 2026-06-29 |
| Baylor Scott & White Medical Center - McKinney | Dallas-Fort Worth TX | $6,093 | 1.6× | 3 | 2026-06-29 |
| UCHealth University of Colorado Hospital | Denver CO | $6,183 | 1.5× | 3 | 2025-11-01 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $6,218 | 1.3× | 1 | 2026-04-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $6,238 | 1.7× | 3 | 2026-06-16 |
| Santa Monica - Ucla Med Ctr & Orthopaedic Hospital | Los Angeles CA | $6,312 | 1.3× | 2 | 2026-03-29 |
| Morton Plant Hospital | Tampa FL | $6,342 | 1.6× | 2 | 2026-01-01 |
| Mease Dunedin Hospital | Tampa FL | $6,342 | 1.6× | 2 | 2026-01-01 |
| South Florida Baptist Hospital | Tampa FL | $6,342 | 1.6× | 2 | 2026-01-01 |
| Mease Countryside Hospital | Tampa FL | $6,342 | 1.6× | 2 | 2026-01-01 |
| Tricities Hospital | Richmond VA | $6,342 | 1.7× | 4 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $6,380 | 1.7× | 4 | 2026-09-01 |
| North Memorial Health | Minneapolis-St. Paul MN | $6,448 | 1.6× | 6 | 2026-09-25 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $6,484 | 1.7× | 3 | 2026-01-01 |
| Trinity Health Livingston Hospital | Detroit MI | $6,496 | 1.7× | 15 | 2026-03-31 |
| Lutheran Medical Center | Denver CO | $6,540 | 1.6× | 6 | 2026-03-22 |
| Intermountain Health Saint Joseph Hospital | Denver CO | $6,540 | 1.6× | 6 | 2026-03-22 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $6,548 | 1.7× | 4 | 2026-09-01 |
| Upmc Washington | Pittsburgh PA | $6,664 | 1.8× | 2 | 2026-03-06 |
| Stanford Health Care Tri-Valley | San Francisco Bay Area CA | $6,682 | 1.2× | 4 | 2026-04-01 |
| Medical City Weatherford | Dallas-Fort Worth TX | $6,708 | 1.7× | 5 | 2026-09-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $6,750 | 1.4× | 2 | 2026-04-01 |
| Memorialcare Orange Coast Medical Center | Los Angeles CA | $6,760 | 1.3× | 5 | 2026-04-01 |
| Winchester Hospital | Boston MA | $6,777 | 1.4× | 2 | 2026-04-01 |
| Ucla West Valley Medical Center | Los Angeles CA | $7,004 | 1.4× | 3 | 2026-03-29 |
| Wellstar Kennestone Hospital | Atlanta GA | $7,146 | 1.8× | 4 | 2026-04-01 |
| Wellstar North Fulton Hospital | Atlanta GA | $7,146 | 1.8× | 4 | 2026-04-01 |
| Swedish Edmonds Hospital | Seattle-Tacoma WA | $7,277 | 1.7× | 5 | 2026-04-01 |
| Advocate Christ Medical Center | Chicago IL | $7,295 | 1.7× | 1 | 2025-11-04 |
| Advocate Lutheran General Hospital | Chicago IL | $7,295 | 1.7× | 1 | 2025-11-04 |
| Good Samaritan Hospital | San Francisco Bay Area CA | $7,323 | 1.3× | 5 | 2026-09-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $7,409 | 1.7× | 3 | 2026-09-15 |
| Keck Hospital Of Usc | Los Angeles CA | $7,439 | 1.5× | 5 | 2026-04-01 |
| Medical City Dallas | Dallas-Fort Worth TX | $7,689 | 1.9× | 5 | 2026-09-01 |
| Medical City Plano | Dallas-Fort Worth TX | $7,725 | 2.0× | 5 | 2026-09-01 |
| Bethesda North | Ohio (statewide) | $7,761 | 2.0× | 4 | 2026-04-01 |
| Providence Mission Hospital | Los Angeles CA | $7,830 | 1.6× | 5 | 2026-04-01 |
| University of Chicago Medical Center | Chicago IL | $7,912 | 1.9× | 2 | 2026-04-01 |
| Providence St. Jude Medical Center | Los Angeles CA | $7,919 | 1.6× | 5 | 2026-04-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $7,956 | 2.1× | 2 | 2026-06-15 |
| Cleveland Clinic Fairview Hospital | Cleveland OH | $7,956 | 2.1× | 2 | 2026-06-15 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $8,019 | 2.2× | 1 | 2026-06-15 |
| Marymount Hospital | Cleveland OH | $8,019 | 2.2× | 1 | 2026-06-15 |
| Memorialcare Long Beach Medical Center | Los Angeles CA | $8,208 | 1.6× | 5 | 2026-04-01 |
| Medical City Fort Worth | Dallas-Fort Worth TX | $8,375 | 2.1× | 5 | 2026-09-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $8,580 | 2.2× | 5 | 2026-09-01 |
| Medical City Denton | Dallas-Fort Worth TX | $8,580 | 2.2× | 5 | 2026-09-01 |
| Riverview Health | Indianapolis IN | $8,718 | 2.1× | 2 | 2026-04-01 |
| St Mary's Medical Center | San Francisco Bay Area CA | $8,741 | 1.5× | 5 | 2026-04-01 |
| Providence St. Joseph Hospital | Los Angeles CA | $8,741 | 1.7× | 5 | 2026-04-01 |
| Jefferson Hospital | Pittsburgh PA | $8,974 | 2.4× | 5 | 2026-04-14 |
| Thomas Jefferson University Hospital | Philadelphia PA | $9,172 | 2.3× | 3 | 2026-09-15 |
| Allegheny Valley Hospital | Pittsburgh PA | $9,298 | 2.4× | 5 | 2026-04-14 |
| Hennepin County Medical Center | Minneapolis-St. Paul MN | $9,319 | 2.3× | 1 | 2025-12-17 |
| Uc San Diego Health Hillcrest - Hillcrest Med Ctr | San Diego CA | $9,732 | 1.9× | 3 | 2026-04-01 |
| Intermountain Health Platte Valley Hospital | Denver CO | $9,838 | 2.4× | 3 | 2026-03-22 |
| Swedish Issaquah | Seattle-Tacoma WA | $10,031 | 2.2× | 5 | 2026-04-01 |
| Tampa General Hospital Brooksville | Tampa FL | $10,426 | 2.5× | 3 | 2026-04-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $10,426 | 2.3× | 5 | 2026-04-01 |
| Forbes Hospital | Pittsburgh PA | $10,499 | 2.8× | 5 | 2026-04-14 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $10,582 | 2.7× | 8 | 2026-07-01 |
| Hoag Memorial Hospital Presbyterian | Los Angeles CA | $10,688 | 2.1× | 4 | 2026-04-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $10,818 | 2.8× | 2 | 2026-04-21 |
| Texas Health Presbyterian Hospital Plano | Dallas-Fort Worth TX | $10,818 | 2.8× | 2 | 2026-04-21 |
| Ahn Wexford Hospital | Pittsburgh PA | $11,199 | 2.9× | 5 | 2026-04-14 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $11,208 | 2.5× | 1 | 2026-03-24 |
| Legacy Emanuel Medical Center | Portland OR | $11,261 | 2.6× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $11,261 | 2.6× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $11,261 | 2.6× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $11,261 | 2.6× | 5 | 2026-04-01 |
| Legacy Salmon Creek Medical Center | Portland OR | $11,261 | 2.6× | 5 | 2026-04-01 |
| UT Southwestern William P. Clements Jr. University Hospital | Dallas-Fort Worth TX | $11,414 | 2.9× | 2 | 2026-03-10 |
| St Anne Hospital | Seattle-Tacoma WA | $11,558 | 2.5× | 5 | 2026-02-28 |
| St Clare Hospital | Seattle-Tacoma WA | $11,778 | 2.6× | 6 | 2026-02-28 |
| St Joseph Medical Center | Seattle-Tacoma WA | $11,778 | 2.6× | 6 | 2026-02-28 |
| St Francis Community Hospital | Seattle-Tacoma WA | $11,778 | 2.6× | 6 | 2026-02-28 |
| Los Robles Hospital & Medical Center | California (statewide) | $11,855 | 2.4× | 5 | 2026-09-01 |
| St Anthony Hospital | Seattle-Tacoma WA | $11,986 | 2.6× | 6 | 2026-02-28 |
| Allegheny General Hospital | Pittsburgh PA | $12,223 | 3.2× | 5 | 2026-04-14 |
| Providence St Vincent Medical Center | Portland OR | $12,994 | 3.0× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $12,994 | 3.0× | 3 | 2026-04-01 |
| Providence Milwaukie Hospital | Portland OR | $12,994 | 3.0× | 3 | 2026-04-01 |
| Swedish Medical Center / Cherry Hill | Seattle-Tacoma WA | $13,492 | 3.0× | 5 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $13,586 | 2.8× | 7 | 2026-01-01 |
| Swedish Medical Center | Seattle-Tacoma WA | $13,619 | 3.0× | 5 | 2026-04-01 |
| Mount Carmel New Albany Surgical Hospital | Columbus OH | $14,083 | 3.7× | 20 | 2026-03-31 |
| Mount Carmel East | Columbus OH | $14,083 | 3.7× | 19 | 2026-03-31 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $14,240 | 3.1× | 7 | 2026-08-27 |
| Multicare Auburn Medical Center | Seattle-Tacoma WA | $14,240 | 3.1× | 7 | 2026-08-27 |
| Multicare Covington Medical Center | Seattle-Tacoma WA | $14,240 | 3.1× | 7 | 2026-08-27 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $15,078 | 3.3× | 6 | 2026-08-27 |
| Cedars-Sinai Medical Center | Los Angeles CA | $20,636 | 4.1× | 3 | 2025-11-26 |
| Stanford Health Care | San Francisco Bay Area CA | $24,307 | 4.2× | 4 | 2026-04-01 |
CPT 19302: P-Mastectomy W/Ln Removal
82 hospitals in 30 markets. National Medicare rate $6,784, surgery center $2,848.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 1 | — | — | — | $8,452–$8,452 |
| Austin TX | 2 | — | — | — | $5,028–$8,483 |
| Boston MA | 7 | $8,517 | $9,426 | $10,560 | $6,038–$11,781 |
| California (statewide) | 1 | — | — | — | $22,690–$22,690 |
| Chicago IL | 5 | $8,288 | $9,086 | $9,928 | $6,520–$15,232 |
| Cleveland OH | 4 | — | — | — | $5,574–$15,402 |
| Dallas-Fort Worth TX | 4 | — | — | — | $8,921–$21,074 |
| Denver CO | 7 | $9,032 | $9,320 | $11,333 | $8,701–$12,924 |
| Detroit MI | 3 | — | — | — | $3,664–$8,165 |
| Georgia (statewide) | 1 | — | — | — | $8,655–$8,655 |
| Houston TX | 1 | — | — | — | $9,237–$9,237 |
| Indianapolis IN | 1 | — | — | — | $19,830–$19,830 |
| Kansas (statewide) | 1 | — | — | — | $8,868–$8,868 |
| Las Vegas NV | 2 | — | — | — | $5,512–$9,123 |
| Los Angeles CA | 2 | — | — | — | $14,603–$26,623 |
| Nashville TN | 4 | — | — | — | $3,649–$7,048 |
| New York City | 2 | — | — | — | $9,294–$18,962 |
| Ohio (statewide) | 1 | — | — | — | $12,356–$12,356 |
| Pennsylvania (statewide) | 1 | — | — | — | $18,184–$18,184 |
| Philadelphia PA | 5 | $8,810 | $11,485 | $12,120 | $8,400–$13,727 |
| Phoenix AZ | 3 | — | — | — | $5,975–$6,122 |
| Portland OR | 6 | $18,978 | $18,978 | $21,824 | $18,978–$22,773 |
| Richmond VA | 2 | — | — | — | $10,230–$11,296 |
| San Antonio TX | 1 | — | — | — | $7,312–$7,312 |
| San Diego CA | 1 | — | — | — | $8,540–$8,540 |
| San Francisco Bay Area CA | 1 | — | — | — | $46,832–$46,832 |
| Seattle-Tacoma WA | 6 | $20,240 | $21,904 | $26,463 | $17,757–$28,971 |
| Tampa FL | 2 | — | — | — | $7,051–$10,540 |
| Washington DC | 4 | — | — | — | $6,613–$9,927 |
| Wisconsin (statewide) | 1 | — | — | — | $10,645–$10,645 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Ascension Saint Thomas Rutherford | Nashville TN | $3,649 | 0.6× | 1 | 2026-01-01 |
| Trinity Health Oakland Hospital | Detroit MI | $3,664 | 0.6× | 16 | 2026-03-31 |
| Henry Ford Health Rochester Hospital | Detroit MI | $4,313 | 0.7× | 1 | 2026-01-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $4,510 | 0.7× | 2 | 2026-01-01 |
| Ascension Seton Medical Center Austin | Austin TX | $5,028 | 0.8× | 1 | 2026-01-01 |
| Henderson Hospital | Las Vegas NV | $5,512 | 0.8× | 3 | 2026-09-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $5,574 | 0.9× | 4 | 2026-07-14 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $5,975 | 0.8× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $5,975 | 0.8× | 5 | 2026-04-01 |
| Beverly Hospital Corporation | Boston MA | $6,038 | 0.8× | 3 | 2026-04-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $6,122 | 0.9× | 4 | 2026-04-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $6,520 | 0.9× | 3 | 2026-04-01 |
| George Washington Univ Hospital | Washington DC | $6,613 | 0.8× | 3 | 2026-09-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $6,638 | 1.0× | 5 | 2026-09-01 |
| Vanderbilt University Medical Center | Nashville TN | $7,048 | 1.1× | 4 | 2025-10-01 |
| Tampa General Hospital | Tampa FL | $7,051 | 1.0× | 2 | 2026-04-01 |
| Methodist Hospital | San Antonio TX | $7,312 | 1.1× | 5 | 2026-09-01 |
| Harper University Hospital | Detroit MI | $8,165 | 1.2× | 1 | 2026-09-02 |
| New England Baptist Hospital | Boston MA | $8,170 | 1.0× | 4 | 2026-04-01 |
| Endeavor Health Edward Hospital | Chicago IL | $8,288 | 1.2× | 2 | 2026-04-01 |
| Riddle Memorial Hospital | Philadelphia PA | $8,400 | 1.2× | 2 | 2026-04-01 |
| Emory University Hospital | Atlanta GA | $8,452 | 1.3× | 6 | 2026-04-01 |
| St David's Medical Center | Austin TX | $8,483 | 1.3× | 5 | 2026-09-01 |
| Scripps Green Hospital | San Diego CA | $8,540 | 1.0× | 1 | 2026-03-30 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $8,655 | 1.5× | 3 | 2026-04-01 |
| HCA HealthONE Swedish | Denver CO | $8,701 | 1.2× | 4 | 2026-09-01 |
| Reston Hospital Center | Washington DC | $8,740 | 1.3× | 4 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $8,759 | 1.3× | 4 | 2026-09-01 |
| Bryn Mawr Hospital | Philadelphia PA | $8,810 | 1.3× | 2 | 2026-04-01 |
| Winchester Hospital | Boston MA | $8,864 | 1.1× | 2 | 2026-04-01 |
| Menorah Medical Center | Kansas (statewide) | $8,868 | 1.4× | 5 | 2026-09-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $8,921 | 1.3× | 3 | 2026-06-29 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $8,939 | 1.3× | 4 | 2026-09-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $9,086 | 1.3× | 2 | 2026-04-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $9,123 | 1.3× | 8 | 2026-07-01 |
| HCA HealthONE Sky Ridge | Denver CO | $9,124 | 1.3× | 4 | 2026-09-01 |
| Houston Methodist Hospital | Houston TX | $9,237 | 1.4× | 5 | 2026-04-01 |
| Montefiore Medical Center | New York City | $9,294 | 1.1× | 8 | 2026-04-01 |
| Hca Healthone Rose | Denver CO | $9,320 | 1.3× | 4 | 2026-09-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $9,426 | 1.2× | 1 | 2026-04-01 |
| UCHealth University of Colorado Hospital | Denver CO | $9,742 | 1.4× | 3 | 2025-11-01 |
| Inova Alexandria Hospital | Washington DC | $9,927 | 1.4× | 5 | 2026-04-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $9,928 | 1.4× | 3 | 2026-04-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $10,230 | 1.6× | 4 | 2026-09-01 |
| Anna Jaques Hospital | Boston MA | $10,266 | 1.3× | 3 | 2026-04-01 |
| Morton Plant Hospital | Tampa FL | $10,540 | 1.5× | 2 | 2026-01-01 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $10,645 | 1.6× | 3 | 2026-01-01 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $10,854 | 1.4× | 1 | 2026-04-01 |
| Henrico Doctors' Hospital | Richmond VA | $11,296 | 1.7× | 4 | 2026-09-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $11,485 | 1.7× | 3 | 2026-09-15 |
| Beth Israel Deaconess Medical Center | Boston MA | $11,781 | 1.5× | 1 | 2026-04-01 |
| Medina Hospital | Cleveland OH | $11,906 | 1.9× | 1 | 2026-06-15 |
| Jefferson Stratford Hospital | Philadelphia PA | $12,120 | 1.6× | 3 | 2026-09-15 |
| Bethesda North | Ohio (statewide) | $12,356 | 1.9× | 4 | 2026-04-01 |
| Adventhealth Porter | Denver CO | $12,924 | 1.8× | 3 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $12,924 | 1.8× | 3 | 2026-04-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $13,112 | 2.0× | 5 | 2026-09-01 |
| Medical City Plano | Dallas-Fort Worth TX | $13,355 | 2.0× | 5 | 2026-09-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $13,600 | 2.2× | 1 | 2026-06-15 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $13,727 | 1.8× | 1 | 2026-03-24 |
| Keck Hospital Of Usc | Los Angeles CA | $14,603 | 1.7× | 5 | 2026-04-01 |
| University of Chicago Medical Center | Chicago IL | $15,232 | 2.1× | 2 | 2026-04-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $15,402 | 2.5× | 1 | 2026-06-15 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $17,757 | 2.3× | 5 | 2026-04-01 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $18,184 | 2.7× | 6 | 2026-07-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $18,962 | 2.3× | 7 | 2026-01-01 |
| Legacy Emanuel Medical Center | Portland OR | $18,978 | 2.6× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $18,978 | 2.6× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $18,978 | 2.6× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $18,978 | 2.6× | 5 | 2026-04-01 |
| Riverview Health | Indianapolis IN | $19,830 | 2.8× | 2 | 2026-04-01 |
| St Clare Hospital | Seattle-Tacoma WA | $20,151 | 2.6× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $20,507 | 2.6× | 6 | 2026-02-28 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $21,074 | 3.2× | 2 | 2026-04-21 |
| Los Robles Hospital & Medical Center | California (statewide) | $22,690 | 2.7× | 5 | 2026-09-01 |
| Providence St Vincent Medical Center | Portland OR | $22,773 | 3.1× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $22,773 | 3.1× | 3 | 2026-04-01 |
| Swedish Medical Center | Seattle-Tacoma WA | $23,300 | 3.0× | 5 | 2026-04-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $26,623 | 3.1× | 3 | 2025-11-26 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $27,517 | 3.5× | 5 | 2026-08-27 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $28,971 | 3.7× | 4 | 2026-08-27 |
| Stanford Health Care | San Francisco Bay Area CA | $46,832 | 4.8× | 4 | 2026-04-01 |
Questions
How much do commercial insurers pay hospitals for breast lumpectomy?
Across 239 hospitals in 36 metro areas that post a usable dollar rate, the median commercial rate for CPT 19301, hospital outpatient is $5,636, 1.4× the same hospital's local Medicare base rate. The middle half of hospitals runs $4,569 to $7,564. 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: Park Nicollet Methodist Hospital ($2,740), South Shore Hospital ($2,812), Ascension Seton Medical Center Austin ($2,908). Highest: Stanford Health Care ($24,307), Cedars-Sinai Medical Center ($20,636), Multicare Good Samaritan Hospital ($15,078). Coverage is limited to the markets listed on this page.