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Breast lumpectomy in New York City

Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.

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CPT 19301

Hospital · insurerRate× MedicarePlans
Elmhurst Hospital Center median $3,871 · local Medicare $4,888 · file 2026-09-05
Aetna$2,6260.5×1
Carelon$2,6440.5×1
Cigna$4,2850.9×1
Elevance/Anthem/Empire$3,9130.8×7
EmblemHealth$3,8290.8×2
Oscar$4,6771.0×1
UnitedHealthcare$3,2050.7×3
Vaccn$4,5310.9×1
South Brooklyn Health median $3,894 · local Medicare $4,888 · file 2026-09-05
Aetna$2,6260.5×1
Carelon$2,6650.5×1
Cigna$4,2850.9×1
Elevance/Anthem/Empire$3,9500.8×7
EmblemHealth$3,8390.8×2
Oscar$4,6771.0×1
UnitedHealthcare$3,2050.7×3
Vaccn$4,5310.9×1
LINCOLN MEDICAL & MENTAL HEALTH CENTER median $3,900 · local Medicare $4,888 · file 2026-09-05
Aetna$2,6260.5×1
Carelon$2,6460.5×1
Cigna$4,2850.9×1
Elevance/Anthem/Empire$3,9700.8×7
EmblemHealth$3,8300.8×2
Oscar$4,6771.0×1
UnitedHealthcare$3,2050.7×3
Vaccn$4,5310.9×1
Jacobi Medical Center median $3,904 · local Medicare $4,888 · file 2026-09-05
Aetna$2,6260.5×1
Carelon$2,6690.5×1
Cigna$4,2850.9×1
Elevance/Anthem/Empire$3,9670.8×7
EmblemHealth$3,8420.8×2
Oscar$4,6771.0×1
UnitedHealthcare$3,2050.7×3
Vaccn$4,5310.9×1
Montefiore Medical Center median $5,124 · local Medicare $4,888 · file 2026-04-01
1199SEIU$3,9180.8×3
Aetna$3,9500.8×4
Christian Brothers$12,9202.6×1
Cigna$2,7720.6×4
Elevance/Anthem/Empire$7,5651.5×12
EmblemHealth$5,3591.1×8
Healthfirst$4,1540.8×1
Mvp$2,7720.6×1
Nat Assoc Letter Carriers$12,9202.6×1
Nippon Life Insurance$12,9202.6×1
Northwell$2,5290.5×2
Oscar$6,6021.4×1
Point Comfort$4,8881.0×1
UnitedHealthcare$13,2202.7×5
Maimonides Medical Center median $5,908 · local Medicare $4,888 · file 2026-04-01
1199SEIU$2,8300.6×1
Aetna$5,4571.1×3
Centivo$6,3601.3×1
Elevance/Anthem/Empire$6,9971.4×2
EmblemHealth$14,8583.0×1
Magnacare (rental network)$6,3601.3×1
UnitedHealthcare$5,0361.0×7
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $13,586 · local Medicare $4,888 · file 2026-01-01
1199SEIU$5,9411.2×3
Aetna$16,5123.4×24
BCBS (other)$13,5862.8×16
Centerlight$4,6220.9×2
Cigna$18,9623.9×22
Elevance/Anthem/Empire$13,5862.8×36
EmblemHealth$13,1942.7×73
Magnacare (rental network)$27,1195.5×10
UnitedHealthcare$19,5834.0×24

CPT 19302

Hospital · insurerRate× MedicarePlans
South Brooklyn Health median $5,196 · local Medicare $8,289 · file 2026-09-05
Aetna$5,1250.6×1
Elevance/Anthem/Empire$5,2680.6×7
EmblemHealth$5,0140.6×1
Magnacare (rental network)$9,2611.1×4
Oscar$12,4331.5×1
UnitedHealthcare$5,0200.6×2
Vaccn$7,7170.9×1
Jacobi Medical Center median $5,207 · local Medicare $8,289 · file 2026-09-05
Aetna$5,1250.6×1
Elevance/Anthem/Empire$5,2890.6×7
EmblemHealth$5,0140.6×1
Magnacare (rental network)$9,2611.1×4
Oscar$12,4331.5×1
UnitedHealthcare$5,0200.6×2
Vaccn$7,7170.9×1
LINCOLN MEDICAL & MENTAL HEALTH CENTER median $5,210 · local Medicare $8,289 · file 2026-09-05
Aetna$5,1250.6×1
Elevance/Anthem/Empire$5,2940.6×7
EmblemHealth$5,0140.6×1
Magnacare (rental network)$9,2611.1×4
Oscar$12,4331.5×1
UnitedHealthcare$5,0200.6×2
Vaccn$7,7170.9×1
Maimonides Medical Center median $9,328 · local Medicare $8,289 · file 2026-04-01
1199SEIU$5,1020.6×1
Aetna$8,0571.0×3
Centivo$10,6001.3×1
Elevance/Anthem/Empire$11,2201.4×2
EmblemHealth$25,1983.0×1
Magnacare (rental network)$8,0561.0×1
UnitedHealthcare$7,0070.8×7
Elmhurst Hospital Center median $10,075 · local Medicare $8,289 · file 2026-09-05
Magnacare (rental network)$9,2611.1×4
Oscar$12,4331.5×1
Vaccn$7,7170.9×1
Montefiore Medical Center median $11,281 · local Medicare $8,289 · file 2026-04-01
1199SEIU$7,9081.0×1
Aetna$5,4340.7×4
Christian Brothers$29,9693.6×1
Cigna$14,1641.7×2
Elevance/Anthem/Empire$10,6801.3×9
EmblemHealth$11,2811.4×8
Healthfirst$7,0450.8×1
Nat Assoc Letter Carriers$29,9693.6×1
Nippon Life Insurance$29,9693.6×1
Northwell$25,6123.1×1
Oscar$6,6020.8×1
Point Comfort$8,2891.0×1
UnitedHealthcare$18,8862.3×5
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $17,737 · local Medicare $8,289 · file 2026-01-01
1199SEIU$13,1881.6×3
Aetna$16,5122.0×24
BCBS (other)$20,2172.4×16
Centerlight$7,8710.9×2
Cigna$18,9622.3×22
Elevance/Anthem/Empire$20,2172.4×32
EmblemHealth$13,1941.6×69
Magnacare (rental network)$27,1193.3×10
UnitedHealthcare$19,5832.4×24

Questions

How much does breast lumpectomy cost with commercial insurance in New York City?

7 New York City hospitals post usable commercial rates for CPT 19301, hospital outpatient. The median across hospitals is $3,904; hospital medians range from $3,871 to $13,586. Your cost depends on your plan's deductible and coinsurance.