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Breast lumpectomy in Washington: what insurers pay

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

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CPT 19301

HospitalMedian across insurers× MedicareInsurersFile date
Astria Toppenish Hospital Toppenish$3,9080.9×42026-04-01
Trios Kennewick$4,0830.9×52026-07-17
Multicare Good Samaritan Hospital Puyallup$7,0621.6×92026-08-27
Multicare Deaconess Hospital Spokane$7,9301.8×82026-08-27
Confluence Health Hospital Wenatchee$8,3191.9×22026-04-21
Providence St Mary Medical Center Walla Walla$8,7002.0×62026-04-01
Lourdes Medical Center Pasco$9,2042.1×22026-07-10
Multicare Auburn Medical Center Auburn$9,2792.0×112026-08-27
Tacoma General Allenmore Hospital Tacoma$9,2792.0×112026-08-27
Multicare Covington Medical Center Covington$9,2792.0×112026-08-27
St Elizabeth Hospital Enumclaw$9,3542.1×72026-02-28
Mary Bridge Children'S Hospital Tacoma$9,5402.1×82026-08-27
St Clare Hospital Lakewood$9,6882.1×92026-02-28
St Joseph Medical Center Tacoma$9,6882.1×92026-02-28
St Francis Community Hospital Federal Way$9,6882.1×92026-02-28
St Anthony Hospital Gig Harbor$9,7382.1×92026-02-28
Overlake Hospital Medical Center Bellevue$9,7582.1×62026-04-01
Multicare Capital Medical Center Olympia$9,9372.3×112026-08-27
Multicare Valley Hospital Spokane$10,0862.3×92026-08-27
Swedish Issaquah Issaquah$10,0942.2×72026-04-01
St Anne Hospital Burien$10,1112.2×82026-02-28
Providence Regional Medical Center Everett Everett$10,3452.4×72026-04-01
Swedish Edmonds Hospital Edmonds$10,6362.4×72026-04-01
Legacy Salmon Creek Medical Center Vancouver$10,7672.5×72026-04-01
Providence Holy Family Hospital Spokane$11,2612.6×62026-04-01
Kadlec Regional Medical Center Richland$11,3482.6×42026-04-01
Virginia Mason Medical Center Seattle$12,9342.8×72026-01-01
Swedish Medical Center / Cherry Hill Seattle$13,4923.0×72026-04-01
Swedish Medical Center Seattle$13,7743.0×72026-04-01
St Michael Medical Center Bremerton$16,2023.6×32026-02-28
Providence Centralia Hospital Centralia$20,2934.7×42026-04-01

CPT 19302

HospitalMedian across insurers× MedicareInsurersFile date
Astria Toppenish Hospital Toppenish$6,7180.9×32026-04-01
Providence St Mary Medical Center Walla Walla$14,8092.0×62026-04-01
St Elizabeth Hospital Enumclaw$16,1172.1×72026-02-28
Overlake Hospital Medical Center Bellevue$16,7342.2×62026-04-01
St Clare Hospital Lakewood$17,0552.2×92026-02-28
St Joseph Medical Center Tacoma$17,0552.2×92026-02-28
St Francis Community Hospital Federal Way$17,0552.2×92026-02-28
St Anthony Hospital Gig Harbor$17,0552.2×92026-02-28
Swedish Issaquah Issaquah$17,1602.2×72026-04-01
St Anne Hospital Burien$17,2982.2×82026-02-28
Multicare Capital Medical Center Olympia$17,5252.4×82026-08-27
Providence Regional Medical Center Everett Everett$17,5432.4×72026-04-01
Swedish Edmonds Hospital Edmonds$18,1972.5×72026-04-01
Legacy Salmon Creek Medical Center Vancouver$18,3112.5×72026-04-01
Multicare Deaconess Hospital Spokane$19,0962.6×52026-08-27
Providence Holy Family Hospital Spokane$19,0982.6×62026-04-01
Multicare Valley Hospital Spokane$19,2442.6×62026-08-27
Kadlec Regional Medical Center Richland$20,1082.7×42026-04-01
Virginia Mason Medical Center Seattle$22,4002.9×72026-01-01
Multicare Auburn Medical Center Auburn$23,0383.0×82026-08-27
Tacoma General Allenmore Hospital Tacoma$23,0383.0×82026-08-27
Multicare Covington Medical Center Covington$23,0383.0×82026-08-27
Swedish Medical Center / Cherry Hill Seattle$23,0833.0×72026-04-01
Swedish Medical Center Seattle$23,3603.0×72026-04-01
Multicare Good Samaritan Hospital Puyallup$25,9403.4×62026-08-27
St Michael Medical Center Bremerton$28,0103.7×32026-02-28
Providence Centralia Hospital Centralia$29,6944.0×42026-04-01
Mary Bridge Children'S Hospital Tacoma$34,0774.4×52026-08-27

Questions

How much do insurers pay for breast lumpectomy in Washington?

31 Washington 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 $9,738, 2.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.