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Breast lumpectomy in New York: what insurers pay

Posted commercial rates at 39 New York 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
Bronxcare Hospital Center Bronx$2,6570.5×52026-05-05
United Memorial Medical Center Batavia$2,7900.6×12026-04-01
St Charles Hospital Port Jefferson$3,6360.7×92026-04-01
Garnet Health Medical Center Middletown$3,8270.8×122026-04-01
Elmhurst Hospital Center Elmhurst$3,8710.8×82026-09-05
Kings County Hospital Center Brooklyn$3,8900.8×82026-09-05
Metropolitan Hospital Center New York$3,8920.8×82026-09-05
South Brooklyn Health Brooklyn$3,8940.8×82026-09-05
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$3,9000.8×82026-09-05
Harlem Hospital Center New York$3,9000.8×82026-09-05
Bellevue Hospital Center New York$3,9020.8×82026-09-05
Jacobi Medical Center Bronx$3,9040.8×82026-09-05
Queens Hospital Center Jamaica$3,9040.8×82026-09-05
Garnet Health Medical Center Catskills Harris$3,9990.8×102026-04-01
Columbia Memorial Hospital Hudson$4,5120.9×62025-12-31
Nassau University Medical Center East Meadow$4,5310.9×12025-10-28
St John'S Riverside Hospital Yonkers$4,8641.0×92026-03-27
Oneida Health Oneida$4,8881.0×72026-09-27
Montefiore Medical Center Bronx$5,1241.1×142026-04-01
Glens Falls Hospital Glens Falls$5,3751.1×62025-12-31
Saratoga Hospital Saratoga Springs$5,5781.1×42025-12-31
Maimonides Medical Center Brooklyn$5,9081.2×72026-04-01
Samaritan Hospital Troy$6,1811.3×242026-03-31
Erie County Medical Center Buffalo$6,1901.3×62026-08-25
Highland Hospital Rochester$7,0181.4×42026-07-01
Montefiore Mount Vernon Hospital Mount Vernon$7,2431.5×102026-04-01
Albany Medical Center Hospital Albany$7,3741.5×62025-12-31
St Joseph'S Medical Center Yonkers$7,8771.6×12026-07-13
Samaritan Medical Center Watertown$8,0361.6×42026-02-02
Strong Memorial Hospital Rochester$8,3861.7×42026-07-01
Jones Memorial Hospital Wellsville$8,3991.7×72026-01-01
Geneva General Hospital Geneva$8,6231.8×32026-08-27
Crouse Hospital Syracuse$8,7781.8×32026-05-19
Wynn Hospital Utica$9,0351.9×152026-08-07
Nicholas H Noyes Memorial Hospital Dansville$10,0142.0×62026-01-01
Roswell Park Cancer Institute Buffalo$10,2372.1×22026-04-01
St James Hospital Hornell$11,4802.4×52026-01-01
Medina Memorial Hospital Medina$12,3622.5×22026-07-29
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$13,5862.8×92026-01-01

CPT 19302

HospitalMedian across insurers× MedicareInsurersFile date
Kings County Hospital Center Brooklyn$5,1920.6×72026-09-05
South Brooklyn Health Brooklyn$5,1960.6×72026-09-05
Metropolitan Hospital Center New York$5,1990.6×72026-09-05
Jacobi Medical Center Bronx$5,2070.6×72026-09-05
Bellevue Hospital Center New York$5,2070.6×72026-09-05
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$5,2100.6×72026-09-05
Queens Hospital Center Jamaica$5,2120.6×72026-09-05
Glens Falls Hospital Glens Falls$5,3250.6×22025-12-31
Garnet Health Medical Center Catskills Harris$6,4830.8×102026-04-01
Garnet Health Medical Center Middletown$7,3930.9×122026-04-01
Nassau University Medical Center East Meadow$7,7170.9×12025-10-28
Oneida Health Oneida$8,2531.0×72026-09-27
St John'S Riverside Hospital Yonkers$8,4541.0×62026-03-27
Bronxcare Hospital Center Bronx$8,6461.0×22026-05-05
Wynn Hospital Utica$9,0351.1×152026-08-07
Maimonides Medical Center Brooklyn$9,3281.1×72026-04-01
Saratoga Hospital Saratoga Springs$9,4101.1×32025-12-31
Montefiore Mount Vernon Hospital Mount Vernon$9,7251.2×102026-04-01
Elmhurst Hospital Center Elmhurst$10,0751.2×32026-09-05
Harlem Hospital Center New York$10,0751.2×32026-09-05
Montefiore Medical Center Bronx$11,2811.4×132026-04-01
Columbia Memorial Hospital Hudson$11,5761.4×12025-12-31
Erie County Medical Center Buffalo$11,7781.4×62026-08-25
Highland Hospital Rochester$11,9021.4×42026-07-01
St Joseph'S Medical Center Yonkers$13,3581.6×12026-07-13
Samaritan Medical Center Watertown$13,9281.7×42026-02-02
Strong Memorial Hospital Rochester$14,2221.7×42026-07-01
Jones Memorial Hospital Wellsville$14,2451.7×72026-01-01
Geneva General Hospital Geneva$14,6241.8×32026-08-27
Crouse Hospital Syracuse$14,8861.8×32026-05-19
Nicholas H Noyes Memorial Hospital Dansville$16,9842.0×62026-01-01
Roswell Park Cancer Institute Buffalo$17,3602.1×22026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$17,7372.1×92026-01-01
St James Hospital Hornell$19,4692.4×52026-01-01
Medina Memorial Hospital Medina$21,5182.6×22026-07-29

Questions

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

39 New York hospitals post usable commercial rates for breast lumpectomy in their federal price-transparency files. For CPT 19301, hospital outpatient, the median across 39 hospitals is $5,375, 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.