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Breast lumpectomy in Hawaii: what insurers pay

Posted commercial rates at 5 Hawaii hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 19301

HospitalMedian across insurers× MedicareInsurersFile date
Wilcox Memorial Hospital Lihue$4,9931.1×72026-02-12
North Hawaii Community Hospital, Inc Kamuela$5,0051.1×52026-03-09
Straub Clinic And Hospital Honolulu$5,0421.1×102026-02-12
Pali Momi Medical Center Aiea$5,1441.1×12026-02-12
Kona Community Hospital Kealakekua$8,0801.8×22026-06-15

CPT 19302

HospitalMedian across insurers× MedicareInsurersFile date
Straub Clinic And Hospital Honolulu$8,1181.0×22026-02-12
Wilcox Memorial Hospital Lihue$8,5041.1×12026-02-12
Pali Momi Medical Center Aiea$8,9021.1×12026-02-12
Kona Community Hospital Kealakekua$15,7082.0×22026-06-15

Questions

How much do insurers pay for breast lumpectomy in Hawaii?

5 Hawaii hospitals post usable commercial rates for breast lumpectomy in their federal price-transparency files. For CPT 19301, hospital outpatient, the median across 5 hospitals is $5,042, 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.