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Breast lumpectomy in Ohio: what insurers pay

Posted commercial rates at 50 Ohio 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
Nationwide Children'S Hospital Columbus$2,0120.5×12026-04-01
University Hospitals Portage Medical Center Ravenna$2,9090.8×52026-07-14
University Hospitals - Elyria Medical Center Elyria$3,2560.9×52026-07-14
East Liverpool City Hospital East Liverpool$3,4880.9×42026-09-01
Parma Community General Hospital Parma$3,5841.0×42026-07-14
Fisher-Titus Hospital Norwalk$3,7001.0×32026-04-29
Union Hospital Dover$3,8901.1×22026-06-15
University Hospitals Ahuja Medical Center Beachwood$3,9421.1×52026-07-14
Coshocton Regional Medical Center Coshocton$3,9981.1×42026-09-01
University Hospitals St. John Medical Center Westlake$4,0291.1×52026-07-14
Euclid Hospital Euclid$4,0751.1×32026-06-15
Cleveland Clinic Lutheran Hospital Cleveland$4,0751.1×32026-06-15
Marymount Hospital Garfield Heights$4,0751.1×32026-06-15
South Pointe Hospital Warrensville Heights$4,0751.1×32026-06-15
University Hospitals Conneaut Medical Center Conneaut$4,1221.1×32026-07-14
Akron Children'S Hospital Akron$4,2771.1×12025-11-11
Medina Hospital Medina$5,5361.5×62026-06-15
Mercy Medical Center Canton$5,5531.5×32026-06-15
Adena Pike Medical Center Waverly$5,6821.5×22026-08-19
West Chester Hospital, Llc West Chester$5,8711.5×42026-07-01
Cleveland Clinic (main campus) Cleveland$5,9181.6×62026-06-16
University Of Cincinnati Medical Center, Llc Cincinnati$5,9401.6×52026-07-01
MetroHealth System Cleveland$6,5331.8×72026-04-01
Aultman Hospital Canton$6,8301.8×42026-04-01
Akron General Medical Center Akron$6,8311.8×52026-06-15
Cleveland Clinic Fairview Hospital Cleveland$6,8311.8×52026-06-15
Cleveland Clinic Hillcrest Hospital Mayfield Heights$6,8311.8×52026-06-15
Bethesda North Cincinnati$7,7612.0×42026-04-01
Adena Fayette Medical Center Washington Ch$8,0002.2×12026-08-19
Summa Health System Akron$8,0822.2×82026-04-01
Miami Valley Hospital Dayton$8,3412.2×22026-04-01
Atrium Medical Center Franklin$8,3542.2×22026-04-01
Upper Valley Medical Center Troy$8,4442.2×22026-04-01
Adena Regional Medical Center Chillicothe$8,8792.4×42026-08-19
Marietta Memorial Hospital Marietta$9,2612.5×12026-10-01
Mccullough-Hyde Memorial Hospital Oxford$9,5962.5×72026-04-01
Good Samaritan Hospital Cincinnati$9,5962.5×72026-04-01
Kettering Health Greene Memorial Xenia$10,5642.8×62026-04-01
Kettering Health Troy Troy$10,5642.8×62026-04-01
Kettering Health Main Campus Kettering$10,5922.8×62026-04-01
Kettering Health Dayton Dayton$10,5922.8×62026-04-01
Soin Medical Center Beaver Creek$10,5922.8×62026-04-01
Kettering Health Miamisburg Miamisburg$10,6242.8×62026-04-01
Lima Memorial Health System Lima$10,8382.9×22026-04-01
Nationwide Children'S Hospital Toledo, Llc Toledo$12,0013.2×12026-04-01
Alliance Community Hospital Alliance$13,3733.6×12026-04-01
Aultman Orrville Hospital Orrville$13,3733.6×12026-04-01
Mount Carmel East Columbus$14,0833.7×242026-03-31
Mount Carmel New Albany Surgical Hospital New Albany$14,0833.7×242026-03-31
Salem Regional Medical Center Salem$15,0504.1×22026-04-01

CPT 19302

HospitalMedian across insurers× MedicareInsurersFile date
Akron Children'S Hospital Akron$4,2770.7×12025-11-11
University Hospitals Portage Medical Center Ravenna$5,0000.8×52026-07-14
University Hospitals - Elyria Medical Center Elyria$6,1481.0×52026-07-14
Fisher-Titus Hospital Norwalk$6,3011.0×32026-04-29
University Hospitals St. John Medical Center Westlake$6,4051.0×52026-07-14
University Hospitals Conneaut Medical Center Conneaut$6,5521.0×32026-07-14
Union Hospital Dover$6,5961.1×22026-06-15
Cleveland Clinic (main campus) Cleveland$6,5961.1×22026-06-16
University Hospitals Ahuja Medical Center Beachwood$6,7481.1×52026-07-14
Euclid Hospital Euclid$6,9101.1×32026-06-15
Cleveland Clinic Lutheran Hospital Cleveland$6,9101.1×32026-06-15
Marymount Hospital Garfield Heights$6,9101.1×32026-06-15
South Pointe Hospital Warrensville Heights$6,9101.1×32026-06-15
Parma Community General Hospital Parma$8,2781.3×32026-07-14
University Of Cincinnati Medical Center, Llc Cincinnati$8,8871.4×52026-07-01
Medina Hospital Medina$8,9621.4×42026-06-15
Adena Pike Medical Center Waverly$9,2421.5×22026-08-19
West Chester Hospital, Llc West Chester$9,4801.5×42026-07-01
Mercy Medical Center Canton$9,8681.6×12026-06-15
Aultman Hospital Canton$10,8131.7×42026-04-01
MetroHealth System Cleveland$11,0791.8×72026-04-01
Cleveland Clinic Fairview Hospital Cleveland$11,1561.8×42026-06-15
Cleveland Clinic Hillcrest Hospital Mayfield Heights$11,1561.8×42026-06-15
Adena Regional Medical Center Chillicothe$11,2061.8×42026-08-19
Akron General Medical Center Akron$11,3651.8×42026-06-15
Bethesda North Cincinnati$12,3561.9×42026-04-01
Adena Fayette Medical Center Washington Ch$13,5682.2×12026-08-19
Miami Valley Hospital Dayton$13,6522.1×22026-04-01
Atrium Medical Center Franklin$13,6742.1×22026-04-01
Summa Health System Akron$13,7072.2×82026-04-01
Upper Valley Medical Center Troy$13,8282.1×22026-04-01
Mccullough-Hyde Memorial Hospital Oxford$15,5192.4×72026-04-01
Good Samaritan Hospital Cincinnati$15,5192.4×72026-04-01
Marietta Memorial Hospital Marietta$15,7052.5×12026-10-01
Kettering Health Greene Memorial Xenia$17,9182.8×62026-04-01
Kettering Health Troy Troy$17,9182.8×62026-04-01
Kettering Health Main Campus Kettering$17,9652.8×62026-04-01
Kettering Health Dayton Dayton$17,9652.8×62026-04-01
Soin Medical Center Beaver Creek$17,9652.8×62026-04-01
Kettering Health Miamisburg Miamisburg$18,0202.8×62026-04-01
Lima Memorial Health System Lima$18,3802.9×22026-04-01
Nationwide Children'S Hospital Toledo, Llc Toledo$20,3523.2×12026-04-01
Alliance Community Hospital Alliance$22,6793.6×12026-04-01
Salem Regional Medical Center Salem$25,5224.1×22026-04-01

Questions

How much do insurers pay for breast lumpectomy in Ohio?

50 Ohio hospitals post usable commercial rates for breast lumpectomy in their federal price-transparency files. For CPT 19301, hospital outpatient, the median across 50 hospitals is $6,831, 1.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.