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Breast lumpectomy in Illinois: what insurers pay

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

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CPT 19301

HospitalMedian across insurers× MedicareInsurersFile date
Endeavor Health Northwest Community Hospital Arlington Heights$3,7510.9×32026-04-01
Endeavor Health Edward Hospital Naperville$4,0211.0×22026-04-01
Endeavor Health Elmhurst Hospital Elmhurst$4,7181.1×22026-04-01
Endeavor Health Evanston Hospital Evanston$5,6361.3×32026-04-01
Advocate Christ Medical Center Oak Lawn$7,2951.7×12025-11-04
Advocate Lutheran General Hospital Park Ridge$7,2951.7×12025-11-04
University of Chicago Medical Center Chicago$7,9121.9×22026-04-01

CPT 19302

HospitalMedian across insurers× MedicareInsurersFile date
Endeavor Health Northwest Community Hospital Arlington Heights$6,5200.9×32026-04-01
Endeavor Health Edward Hospital Naperville$8,2881.2×22026-04-01
Endeavor Health Elmhurst Hospital Elmhurst$9,0861.3×22026-04-01
Endeavor Health Evanston Hospital Evanston$9,9281.4×32026-04-01
University of Chicago Medical Center Chicago$15,2322.1×22026-04-01

Questions

How much do insurers pay for breast lumpectomy in Illinois?

7 Illinois 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 $5,636, 1.3× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.