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Breast lumpectomy in Georgia: what insurers pay

Posted commercial rates at 7 Georgia hospitals, each next to its own Medicare base rate.

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CPT 19301

HospitalMedian across insurers× MedicareInsurersFile date
Emory University Hospital Atlanta$5,3241.4×62026-04-01
Emory University Hospital Midtown Atlanta$5,3241.4×62026-04-01
Emory Saint Joseph's Hospital Atlanta$5,3241.4×62026-04-01
Emory Johns Creek Hospital Johns Creek$5,3241.4×62026-04-01
Emory Houston Hospital Warner Robins Warner Robins$5,4951.6×32026-04-01
Wellstar Kennestone Hospital Marietta$7,1461.8×42026-04-01
Wellstar North Fulton Hospital Roswell$7,1461.8×42026-04-01

CPT 19302

HospitalMedian across insurers× MedicareInsurersFile date
Emory University Hospital Atlanta$8,4521.3×62026-04-01
Emory Houston Hospital Warner Robins Warner Robins$8,6551.5×32026-04-01

Questions

How much do insurers pay for breast lumpectomy in Georgia?

7 Georgia hospitals post usable commercial rates for breast lumpectomy in their federal price-transparency files. For CPT 19301, hospital outpatient, the median across 7 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.