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Breast lumpectomy in Utah: what insurers pay

Posted commercial rates at 17 Utah 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
Blue Mountain Hospital Blanding$2,0340.5×12026-09-01
Intermountain Health Logan Regional Hospital Logan$3,4040.9×22026-08-05
Mckay-Dee Hospital Ogden$3,4700.9×52026-08-05
Intermountain Health Cedar City Hospital Cedar City$3,4700.9×12026-08-05
Intermountain Health Primary Children'S Hospital Salt Lake City$3,4700.9×12026-08-05
Intermountain Health Utah Valley Hospital Provo$3,5760.9×32026-08-05
Lds Hospital Salt Lake City$3,5760.9×32026-08-05
Intermountain Health Park City Hospital Park City$3,5760.9×12026-08-05
Intermountain Health Heber Valley Hospital Heber City$3,5760.9×12026-08-05
Intermountain Medical Center Murray$3,6980.9×22026-08-05
Orem Community Hospital Orem$3,6980.9×22026-08-05
Intermountain Health Alta View Hospital Sandy$3,6980.9×22026-08-05
Intermountain Health Riverton Hospital Riverton$3,6980.9×22026-08-05
Intermountain Health Layton Hospital Layton$3,6980.9×22026-08-05
Intermountain Health Spanish Fork Hospital Spanish Fork$3,6980.9×22026-08-05
American Fork Hospital American Fork$3,8191.0×22026-08-05
Castleview Hospital Price$13,0983.3×12026-07-14

CPT 19302

HospitalMedian across insurers× MedicareInsurersFile date
Intermountain Health Logan Regional Hospital Logan$5,7880.9×22026-08-05
Mckay-Dee Hospital Ogden$5,8760.9×52026-08-05
Intermountain Health Park City Hospital Park City$5,8760.9×12026-08-05
Intermountain Health Heber Valley Hospital Heber City$5,8760.9×12026-08-05
Intermountain Health Utah Valley Hospital Provo$5,9370.9×32026-08-05
Lds Hospital Salt Lake City$5,9370.9×32026-08-05
Intermountain Health Cedar City Hospital Cedar City$5,9370.9×12026-08-05
Intermountain Health Primary Children'S Hospital Salt Lake City$5,9370.9×12026-08-05
Intermountain Medical Center Murray$6,0760.9×22026-08-05
Orem Community Hospital Orem$6,0760.9×22026-08-05
Intermountain Health Alta View Hospital Sandy$6,0760.9×22026-08-05
Intermountain Health Riverton Hospital Riverton$6,0760.9×22026-08-05
Intermountain Health Layton Hospital Layton$6,0760.9×22026-08-05
Intermountain Health Spanish Fork Hospital Spanish Fork$6,0760.9×22026-08-05
American Fork Hospital American Fork$6,2760.9×22026-08-05

Questions

How much do insurers pay for breast lumpectomy in Utah?

17 Utah hospitals post usable commercial rates for breast lumpectomy in their federal price-transparency files. For CPT 19301, hospital outpatient, the median across 17 hospitals is $3,576, 0.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.