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Breast lumpectomy in Idaho: what insurers pay

Posted commercial rates at 15 Idaho hospitals, each next to its own Medicare base rate.

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CPT 19301

HospitalMedian across insurers× MedicareInsurersFile date
Steele Memorial Medical Center Salmon$2,3760.6×22026-02-26
St Joseph Regional Medical Center Lewiston$3,4380.9×12026-04-01
North Canyon Medical Center Gooding$3,8291.0×12026-04-13
Treasure Valley Hospital Boise$4,1101.0×32026-09-02
Intermountain Health Cassia Regional Hospital Burley$4,2321.1×12026-08-05
Mountain View Hospital Idaho Falls$6,0951.6×22026-03-16
Kootenai Health Coeur D'Alene$6,4391.6×32026-03-27
Idaho Falls Community Hospital, Llc Idaho Falls$8,7042.3×32026-03-16
St Luke'S Nampa Medical Center Nampa$9,7262.5×72026-03-25
St Luke'S Jerome Jerome$9,7262.5×82026-03-25
St Luke'S Elmore Medical Center Mountain Home$9,7262.5×82026-03-25
West Valley Medical Center Caldwell$9,8752.5×32026-09-01
Saint Alphonsus Regional Medical Center Boise$10,8122.7×22026-03-31
St Luke'S Regional Medical Center Boise$11,5492.9×32026-03-25
Saint Alphonsus Medical Center - Nampa Nampa$12,8853.3×72026-03-31

CPT 19302

HospitalMedian across insurers× MedicareInsurersFile date
St Joseph Regional Medical Center Lewiston$5,9430.9×12026-04-01
North Canyon Medical Center Gooding$6,5211.0×12026-04-13
Treasure Valley Hospital Boise$8,4141.3×22026-09-02
Mountain View Hospital Idaho Falls$10,2841.6×22026-03-16
Idaho Falls Community Hospital, Llc Idaho Falls$14,7602.3×32026-03-16
Kootenai Health Coeur D'Alene$15,4602.3×22026-03-27
St Luke'S Nampa Medical Center Nampa$16,5652.5×72026-03-25
St Luke'S Jerome Jerome$16,5652.5×82026-03-25
St Luke'S Elmore Medical Center Mountain Home$16,5652.5×82026-03-25
West Valley Medical Center Caldwell$16,8942.5×32026-09-01
St Luke'S Regional Medical Center Boise$19,7582.9×32026-03-25

Questions

How much do insurers pay for breast lumpectomy in Idaho?

15 Idaho hospitals post usable commercial rates for breast lumpectomy in their federal price-transparency files. For CPT 19301, hospital outpatient, the median across 15 hospitals is $8,704, 2.3× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.