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Breast lumpectomy in Georgia: what insurers pay

Posted commercial rates at 36 Georgia hospitals, each next to its own Medicare base rate.

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CPT 19301

HospitalMedian across insurers× MedicareInsurersFile date
Adventhealth Gordon Calhoun$2,2280.7×42026-04-01
Adventhealth Murray Chatsworth$2,5350.7×32026-04-01
Morgan Medical Center Madison$2,7330.7×22026-07-28
St Francis Hospital- Emory Healthcare Columbus$2,8730.8×52026-04-01
Atrium Health Navicent The Medical Center Macon$2,9320.8×62025-11-19
Atrium Health Navicent Peach Byron$2,9700.9×22025-11-19
Evans Memorial Hospital Claxton$2,9850.9×12026-03-26
Atrium Health Floyd Medical Center Rome$4,0651.0×22025-11-19
Candler County Hospital Metter$4,0951.2×12026-03-20
Navicent Health Baldwin Milledgeville$4,1441.2×32025-11-19
Memorial Health Meadows Hospital Vidalia$4,5161.3×72026-09-01
Emory Hillandale Hospital Lithonia$4,5391.2×42026-04-01
Jefferson Hospital Louisville$4,5731.3×72026-04-14
Doctors Hospital Augusta$4,6801.4×72026-09-01
Emory University Hospital Atlanta$5,3241.4×62026-04-01
Emory Decatur Hospital Decatur$5,3241.4×62026-04-01
Emory Saint Joseph's Hospital Atlanta$5,3241.4×62026-04-01
Emory University Hospital Midtown Atlanta$5,3241.4×62026-04-01
Emory Johns Creek Hospital Johns Creek$5,3241.4×62026-04-01
Fairview Park Hospital Dublin$5,4001.6×92026-09-01
Adventhealth Redmond Rome$5,4111.3×52026-04-01
Emory Houston Hospital Warner Robins Warner Robins$5,4951.6×32026-04-01
Memorial Satilla Health Waycross$5,5081.6×72026-09-01
Wellstar West Georgia Medical Center Lagrange$5,8091.7×52026-04-01
Wellstar Spalding Medical Center Griffin$7,1461.8×42026-04-01
Wellstar Kennestone Hospital Marietta$7,1461.8×42026-04-01
Wellstar Paulding Medical Center Hiram$7,1461.8×42026-04-01
Wellstar Cobb Medical Center Austell$7,1461.8×42026-04-01
Wellstar Douglas Medical Center Douglasville$7,1461.8×42026-04-01
Wellstar North Fulton Hospital Roswell$7,1461.8×42026-04-01
Wellstar Sylvan Grove Medical Center Jackson$7,1461.8×42026-04-01
Coffee Regional Medical Center, Inc Douglas$8,7282.5×42026-06-05
Northeast Georgia Medical Center, Inc Gainesville$17,2964.6×22026-04-01
Northeast Georgia Medical Center Habersham Demorest$17,2965.0×22026-04-01
Northeast Georgia Medical Center Barrow Winder$17,2964.4×22026-04-01
Northeast Georgia Medical Center Lumpkin Dahlonega$17,2964.4×22026-04-01

CPT 19302

HospitalMedian across insurers× MedicareInsurersFile date
Adventhealth Murray Chatsworth$3,5670.6×12026-04-01
Adventhealth Gordon Calhoun$3,5890.6×22026-04-01
Atrium Health Navicent Peach Byron$3,9760.7×22025-11-19
Atrium Health Navicent The Medical Center Macon$4,7080.8×62025-11-19
Evans Memorial Hospital Claxton$4,9760.9×12026-03-26
St Francis Hospital- Emory Healthcare Columbus$5,6111.0×52026-04-01
Atrium Health Floyd Medical Center Rome$6,7781.0×22025-11-19
Doctors Hospital Augusta$7,0621.2×72026-09-01
Emory Hillandale Hospital Lithonia$7,3741.1×42026-04-01
Memorial Satilla Health Waycross$7,5121.3×72026-09-01
Fairview Park Hospital Dublin$7,5121.3×92026-09-01
Memorial Health Meadows Hospital Vidalia$7,5121.3×72026-09-01
Jefferson Hospital Louisville$7,7871.3×72026-04-14
Emory University Hospital Atlanta$8,4521.3×62026-04-01
Emory Decatur Hospital Decatur$8,4521.3×62026-04-01
Emory Saint Joseph's Hospital Atlanta$8,4521.3×62026-04-01
Emory University Hospital Midtown Atlanta$8,4521.3×62026-04-01
Emory Johns Creek Hospital Johns Creek$8,4521.3×62026-04-01
Navicent Health Baldwin Milledgeville$8,6331.5×22025-11-19
Emory Houston Hospital Warner Robins Warner Robins$8,6551.5×32026-04-01
Wellstar West Georgia Medical Center Lagrange$9,0001.6×52026-04-01
Wellstar Spalding Medical Center Griffin$9,0001.4×52026-04-01
Wellstar Kennestone Hospital Marietta$9,0001.3×52026-04-01
Wellstar Paulding Medical Center Hiram$9,0001.3×52026-04-01
Wellstar Cobb Medical Center Austell$9,0001.3×52026-04-01
Wellstar Douglas Medical Center Douglasville$9,0001.4×52026-04-01
Wellstar North Fulton Hospital Roswell$9,0001.4×52026-04-01
Wellstar Sylvan Grove Medical Center Jackson$9,0001.4×52026-04-01
Adventhealth Redmond Rome$9,7991.4×52026-04-01
Northeast Georgia Medical Center, Inc Gainesville$24,4433.8×22026-04-01
Northeast Georgia Medical Center Habersham Demorest$24,4434.2×22026-04-01
Northeast Georgia Medical Center Barrow Winder$24,4433.7×22026-04-01
Northeast Georgia Medical Center Lumpkin Dahlonega$24,4433.7×22026-04-01

Questions

How much do insurers pay for breast lumpectomy in Georgia?

36 Georgia hospitals post usable commercial rates for breast lumpectomy in their federal price-transparency files. For CPT 19301, hospital outpatient, the median across 36 hospitals is $5,324, 1.4× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.