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Breast lumpectomy in Tennessee: what insurers pay

Posted commercial rates at 8 Tennessee hospitals, each next to its own Medicare base rate.

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CPT 19301

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Saint Thomas Hospital (Midtown + West) Nashville$3,4110.9×12026-01-01
TriStar Skyline Medical Center Nashville$3,5360.9×52026-09-01
TriStar Summit Medical Center Hermitage$3,5360.9×52026-09-01
TriStar StoneCrest Medical Center Smyrna$3,6031.0×52026-09-01
TriStar Hendersonville Medical Center Hendersonville$3,6031.0×52026-09-01
Vanderbilt Wilson County Hospital Lebanon$3,7211.0×42025-10-01
Vanderbilt University Medical Center Nashville$3,8881.0×42025-10-01

CPT 19302

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Saint Thomas Rutherford Murfreesboro$3,6490.6×12026-01-01
Ascension Saint Thomas Hospital (Midtown + West) Nashville$4,5100.7×22026-01-01
TriStar StoneCrest Medical Center Smyrna$6,6381.0×52026-09-01
Vanderbilt University Medical Center Nashville$7,0481.1×42025-10-01

Questions

How much do insurers pay for breast lumpectomy in Tennessee?

8 Tennessee hospitals post usable commercial rates for breast lumpectomy in their federal price-transparency files. For CPT 19301, hospital outpatient, the median across 7 hospitals is $3,603, 1.0× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.