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Breast lumpectomy in Washington: what insurers pay

Posted commercial rates at 15 Washington hospitals, each next to its own Medicare base rate.

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CPT 19301

HospitalMedian across insurers× MedicareInsurersFile date
Swedish Edmonds Hospital Edmonds$7,2771.7×52026-04-01
Swedish Issaquah Issaquah$10,0312.2×52026-04-01
Overlake Hospital Medical Center Bellevue$10,4262.3×52026-04-01
Legacy Salmon Creek Medical Center Vancouver$11,2612.6×52026-04-01
St Anne Hospital Burien$11,5582.5×52026-02-28
St Clare Hospital Lakewood$11,7782.6×62026-02-28
St Joseph Medical Center Tacoma$11,7782.6×62026-02-28
St Francis Community Hospital Federal Way$11,7782.6×62026-02-28
St Anthony Hospital Gig Harbor$11,9862.6×62026-02-28
Swedish Medical Center / Cherry Hill Seattle$13,4923.0×52026-04-01
Swedish Medical Center Seattle$13,6193.0×52026-04-01
Tacoma General Allenmore Hospital Tacoma$14,2403.1×72026-08-27
Multicare Auburn Medical Center Auburn$14,2403.1×72026-08-27
Multicare Covington Medical Center Covington$14,2403.1×72026-08-27
Multicare Good Samaritan Hospital Puyallup$15,0783.3×62026-08-27

CPT 19302

HospitalMedian across insurers× MedicareInsurersFile date
Overlake Hospital Medical Center Bellevue$17,7572.3×52026-04-01
St Clare Hospital Lakewood$20,1512.6×62026-02-28
St Anthony Hospital Gig Harbor$20,5072.6×62026-02-28
Swedish Medical Center Seattle$23,3003.0×52026-04-01
Tacoma General Allenmore Hospital Tacoma$27,5173.5×52026-08-27
Multicare Good Samaritan Hospital Puyallup$28,9713.7×42026-08-27

Questions

How much do insurers pay for breast lumpectomy in Washington?

15 Washington hospitals post usable commercial rates for breast lumpectomy in their federal price-transparency files. For CPT 19301, hospital outpatient, the median across 15 hospitals is $11,778, 2.6× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.