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Breast lumpectomy in Virginia: what insurers pay

Posted commercial rates at 31 Virginia hospitals, each next to its own Medicare base rate.

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CPT 19301

HospitalMedian across insurers× MedicareInsurersFile date
Sentara Martha Jefferson Hospital Charlottesville$4,9361.3×42026-04-01
Sentara Northern Virginia Medical Center Woodbridge$4,9781.2×42026-04-01
Spotsylvania Regional Medical Center Fredericksburg$5,0791.3×52026-09-01
Inova Alexandria Hospital Alexandria$5,8221.4×82026-04-01
Inova Loudoun Hospital Leesburg$5,8221.4×82026-04-01
Inova Fairfax Hospital Falls Church$5,8221.4×82026-04-01
Inova Fair Oaks Hospital Fairfax$5,8221.4×82026-04-01
Inova Mount Vernon Hospital Alexandria$5,8221.4×82026-04-01
Reston Hospital Center Reston$6,3601.6×62026-09-01
Stonesprings Hospital Center Dulles$6,3721.6×62026-09-01
Henrico Doctors' Hospital Richmond$6,3801.7×62026-09-01
CJW Medical Center (Chippenham + Johnston-Willis) Richmond$6,5481.7×62026-09-01
Tricities Hospital Hopewell$7,0511.9×52026-09-01
Augusta Health Fishersville$7,0611.9×32026-04-01
Lewisgale Hospital Montgomery Blacksburg$7,2081.9×32026-09-01
Lewisgale Hospital Pulaski Pulaski$7,2081.9×32026-09-01
Fauquier Hospital Warrenton$7,2681.8×12026-07-14
Lewisgale Hospital Alleghany Low Moor$7,6772.0×32026-09-01
Riverside Doctors' Hospital Of Williamsburg Williamsburg$8,1882.1×22026-01-02
Riverside Regional Medical Center Newport News$9,0502.4×32026-01-02
Lewisgale Medical Center Salem$10,4422.7×22026-09-01
Sentara Leigh Hospital Norfolk$11,1352.9×32026-04-01
Riverside Shore Memorial Hospital Onancock$11,3913.0×12026-01-02
Sentara Virginia Beach General Hospital Virginia Beach$12,0153.1×32026-04-01
Sentara Rmh Medical Center Harrisonburg$12,0473.1×12026-04-01
Sentara Obici Hospital Suffolk$12,5993.3×32026-04-01
Sentara Princess Anne Hospital Virginia Beach$12,5993.3×32026-04-01
Sentara Careplex Hospital Hampton$12,7123.3×22026-04-01
Sentara Norfolk General Hospital Norfolk$12,7393.3×32026-04-01
Sentara Williamsburg Regional Medical Center Williamsburg$13,2683.5×22026-04-01
Sentara Halifax Regional Hospital South Boston$13,2703.5×12026-04-01

CPT 19302

HospitalMedian across insurers× MedicareInsurersFile date
Spotsylvania Regional Medical Center Fredericksburg$8,2781.2×52026-09-01
Sentara Martha Jefferson Hospital Charlottesville$8,4881.3×42026-04-01
Sentara Northern Virginia Medical Center Woodbridge$9,4391.4×42026-04-01
Inova Alexandria Hospital Alexandria$9,5111.4×72026-04-01
Inova Loudoun Hospital Leesburg$9,5111.4×72026-04-01
Inova Fairfax Hospital Falls Church$9,5111.4×72026-04-01
Inova Fair Oaks Hospital Fairfax$9,5111.4×72026-04-01
Inova Mount Vernon Hospital Alexandria$9,5111.4×72026-04-01
Reston Hospital Center Reston$9,6001.4×62026-09-01
Stonesprings Hospital Center Dulles$9,6191.4×62026-09-01
CJW Medical Center (Chippenham + Johnston-Willis) Richmond$10,2301.6×62026-09-01
Tricities Hospital Hopewell$11,1021.7×52026-09-01
Henrico Doctors' Hospital Richmond$11,2961.7×62026-09-01
Lewisgale Hospital Pulaski Pulaski$13,6732.1×32026-09-01
Lewisgale Hospital Alleghany Low Moor$14,1462.2×32026-09-01
Lewisgale Medical Center Salem$16,4422.5×22026-09-01
Augusta Health Fishersville$17,6562.7×32026-04-01
Sentara Leigh Hospital Norfolk$18,8832.9×32026-04-01
Riverside Doctors' Hospital Of Williamsburg Williamsburg$19,2263.0×12026-01-02
Riverside Shore Memorial Hospital Onancock$19,4003.0×12026-01-02
Lewisgale Hospital Montgomery Blacksburg$19,4663.0×32026-09-01
Sentara Virginia Beach General Hospital Virginia Beach$20,3763.1×32026-04-01
Sentara Rmh Medical Center Harrisonburg$20,4313.1×12026-04-01
Riverside Regional Medical Center Newport News$20,8553.2×12026-01-02
Sentara Obici Hospital Suffolk$21,4013.3×32026-04-01
Sentara Princess Anne Hospital Virginia Beach$21,4013.3×32026-04-01
Sentara Careplex Hospital Hampton$21,5743.3×22026-04-01
Sentara Norfolk General Hospital Norfolk$21,6393.3×32026-04-01
Sentara Williamsburg Regional Medical Center Williamsburg$22,5203.5×22026-04-01

Questions

How much do insurers pay for breast lumpectomy in Virginia?

31 Virginia hospitals post usable commercial rates for breast lumpectomy in their federal price-transparency files. For CPT 19301, hospital outpatient, the median across 31 hospitals is $7,208, 1.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.