Price AtlasInteractive atlas · All states · techysurgeon.comBreast lumpectomy in Pennsylvania: what insurers pay
Posted commercial rates at 20 Pennsylvania hospitals, each next to its own Medicare base rate.
Open in the explorerAll statesEvery bill for the whole procedure
CPT 19301
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| Upmc St Margaret Pittsburgh | $3,058 | 0.8× | 1 | 2026-03-06 |
| Upmc East Monroeville | $3,058 | 0.8× | 1 | 2026-03-06 |
| Magee Womens Hospital Of Upmc Health System Pittsburgh | $3,545 | 0.9× | 1 | 2026-03-06 |
| Jefferson Abington Hospital Abington | $4,338 | 1.1× | 4 | 2026-09-15 |
| Riddle Memorial Hospital Media | $4,788 | 1.2× | 2 | 2026-04-01 |
| Paoli Hospital Paoli | $5,000 | 1.3× | 2 | 2026-04-01 |
| Bryn Mawr Hospital Bryn Mawr | $5,061 | 1.3× | 2 | 2026-04-01 |
| Lankenau Medical Center Wynnewood | $5,119 | 1.3× | 2 | 2026-04-01 |
| Jefferson Einstein Montgomery Hospital East Norriton | $5,308 | 1.4× | 5 | 2026-09-15 |
| Upmc Presbyterian Shadyside Pittsburgh | $5,380 | 1.4× | 1 | 2026-03-06 |
| Jefferson Health-Northeast Philadelphia | $5,466 | 1.4× | 5 | 2026-09-15 |
| Temple University Hospital Philadelphia | $5,732 | 1.4× | 6 | 2026-04-13 |
| Upmc Washington Washington | $6,664 | 1.8× | 2 | 2026-03-06 |
| Jefferson Hospital Jefferson Hills | $8,974 | 2.4× | 5 | 2026-04-14 |
| Thomas Jefferson University Hospital Philadelphia | $9,172 | 2.3× | 3 | 2026-09-15 |
| Allegheny Valley Hospital Natrona | $9,298 | 2.4× | 5 | 2026-04-14 |
| Forbes Hospital Monroeville | $10,499 | 2.8× | 5 | 2026-04-14 |
| Lehigh Valley Hospital Allentown | $10,582 | 2.7× | 8 | 2026-07-01 |
| Ahn Wexford Hospital Wexford | $11,199 | 2.9× | 5 | 2026-04-14 |
| Allegheny General Hospital Pittsburgh | $12,223 | 3.2× | 5 | 2026-04-14 |
CPT 19302
| Hospital | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|
| Riddle Memorial Hospital Media | $8,400 | 1.2× | 2 | 2026-04-01 |
| Bryn Mawr Hospital Bryn Mawr | $8,810 | 1.3× | 2 | 2026-04-01 |
| Thomas Jefferson University Hospital Philadelphia | $11,485 | 1.7× | 3 | 2026-09-15 |
| Lehigh Valley Hospital Allentown | $18,184 | 2.7× | 6 | 2026-07-01 |
Questions
How much do insurers pay for breast lumpectomy in Pennsylvania?
20 Pennsylvania hospitals post usable commercial rates for breast lumpectomy in their federal price-transparency files. For CPT 19301, hospital outpatient, the median across 20 hospitals is $5,423, 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.