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Breast lumpectomy in New Jersey: what insurers pay

Posted commercial rates at 24 New Jersey hospitals, each next to its own Medicare base rate.

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CPT 19301

HospitalMedian across insurers× MedicareInsurersFile date
Newton Medical Center Newton$4,1840.9×112026-04-01
Hackettstown Medical Center Hackettstown$4,1840.9×102026-04-01
Centrastate Medical Center Freehold$4,2381.0×162026-01-01
Morristown Medical Center Morristown$4,4431.0×12026-04-01
Chilton Medical Center Pompton Plains$4,4431.0×112026-04-01
Overlook Medical Center Summit$4,4431.0×112026-04-01
Palisades Medical Center North Bergen$4,5101.0×12025-12-31
Englewood Hospital Englewood$6,3801.4×42026-02-02
St Luke'S Warren Hospital Phillipsburg$6,6821.5×32026-02-27
St Mary'S General Hospital Passaic$6,8021.5×72026-09-01
Jefferson Stratford Hospital Stratford$7,4091.7×32026-09-15
Shore Medical Center Somers Point$7,4501.7×42026-08-30
St Joseph'S University Medical Center Inc Paterson$8,0011.7×32026-04-24
Valley Hospital Paramus$10,4302.2×42026-05-06
Inspira Medical Center Vineland Vineland$11,2082.5×12026-03-24
Inspira Medical Center Mullica Hill Mullica Hill$11,2082.5×12026-03-24

CPT 19302

HospitalMedian across insurers× MedicareInsurersFile date
Centrastate Medical Center Freehold$7,2181.0×142026-01-01
Raritan Bay Medical Center Perth Amboy$7,2251.0×72025-12-31
Morristown Medical Center Morristown$7,5671.0×12026-04-01
Chilton Medical Center Pompton Plains$7,5671.0×112026-04-01
Newton Medical Center Newton$7,5671.0×112026-04-01
Overlook Medical Center Summit$7,5671.0×112026-04-01
Hackettstown Medical Center Hackettstown$7,5671.0×102026-04-01
Palisades Medical Center North Bergen$7,7701.0×52025-12-31
Hackensack University Medical Center Hackensack$7,7731.0×52025-12-31
Ocean University Medical Center Brick$7,7731.0×62025-12-31
Riverview Medical Center Red Bank$7,8181.1×62025-12-31
Bayshore Medical Center Holmdel$7,8181.1×62025-12-31
Southern Ocean Medical Center Manahawkin$9,3831.3×52025-12-31
Jfk University Medical Center Edison$10,1631.4×52025-12-31
Jersey Shore University Medical Center Neptune$10,2021.4×32025-12-31
Shore Medical Center Somers Point$11,0621.5×42026-08-30
Jefferson Stratford Hospital Stratford$12,1201.6×32026-09-15
Englewood Hospital Englewood$12,6721.6×32026-02-02
St Joseph'S University Medical Center Inc Paterson$13,5691.7×32026-04-24
Inspira Medical Center Vineland Vineland$13,7271.8×12026-03-24
Inspira Medical Center Mullica Hill Mullica Hill$13,7271.8×12026-03-24
Valley Hospital Paramus$17,9472.3×42026-05-06

Questions

How much do insurers pay for breast lumpectomy in New Jersey?

24 New Jersey hospitals post usable commercial rates for breast lumpectomy in their federal price-transparency files. For CPT 19301, hospital outpatient, the median across 16 hospitals is $6,531, 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.