Price AtlasInteractive atlas · All states · techysurgeon.comMastectomy: what insurers pay
Removal of the whole breast: simple (19303) or modified radical (19307). Commercial negotiated rates by hospital and market, next to Medicare for the same code.
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CPT 19303: Mast Simple Complete
88 hospitals in 34 markets. National Medicare rate $6,784, surgery center $2,848.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 1 | — | — | — | $6,746–$6,746 |
| Austin TX | 2 | — | — | — | $5,028–$7,019 |
| Boston MA | 7 | $8,148 | $9,426 | $10,560 | $6,599–$11,781 |
| California (statewide) | 1 | — | — | — | $16,402–$16,402 |
| Chicago IL | 6 | $6,584 | $8,215 | $9,480 | $4,035–$11,205 |
| Cleveland OH | 5 | $7,948 | $11,612 | $11,906 | $4,961–$13,600 |
| Columbus OH | 1 | — | — | — | $49,567–$49,567 |
| Dallas-Fort Worth TX | 4 | — | — | — | $6,703–$19,140 |
| Denver CO | 7 | $7,414 | $7,492 | $9,894 | $7,276–$11,519 |
| Detroit MI | 3 | — | — | — | $7,166–$9,431 |
| Georgia (statewide) | 1 | — | — | — | $7,870–$7,870 |
| Houston TX | 1 | — | — | — | $6,671–$6,671 |
| Indianapolis IN | 1 | — | — | — | $18,284–$18,284 |
| Kansas (statewide) | 1 | — | — | — | $8,282–$8,282 |
| Las Vegas NV | 2 | — | — | — | $6,125–$8,403 |
| Los Angeles CA | 2 | — | — | — | $8,770–$25,517 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $6,252–$6,252 |
| Nashville TN | 3 | — | — | — | $3,942–$4,915 |
| New York (statewide) | 1 | — | — | — | $5,783–$5,783 |
| New York City | 2 | — | — | — | $6,824–$18,962 |
| Ohio (statewide) | 1 | — | — | — | $17,240–$17,240 |
| Philadelphia PA | 5 | $5,840 | $9,022 | $9,630 | $5,567–$13,320 |
| Phoenix AZ | 3 | — | — | — | $4,918–$5,642 |
| Pittsburgh PA | 1 | — | — | — | $6,646–$6,646 |
| Portland OR | 6 | $14,470 | $14,470 | $20,697 | $14,470–$22,773 |
| Richmond VA | 2 | — | — | — | $9,179–$9,508 |
| San Antonio TX | 1 | — | — | — | $6,058–$6,058 |
| San Diego CA | 1 | — | — | — | $8,540–$8,540 |
| San Francisco Bay Area CA | 1 | — | — | — | $31,632–$31,632 |
| Seattle-Tacoma WA | 6 | $20,240 | $21,904 | $26,463 | $17,757–$28,971 |
| St. Louis MO | 2 | — | — | — | $4,953–$4,953 |
| Tampa FL | 2 | — | — | — | $6,490–$9,017 |
| Washington DC | 4 | — | — | — | $5,292–$8,741 |
| Wisconsin (statewide) | 1 | — | — | — | $9,139–$9,139 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $3,942 | 0.6× | 1 | 2026-01-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $4,035 | 0.6× | 3 | 2026-04-01 |
| Vanderbilt University Medical Center | Nashville TN | $4,566 | 0.7× | 4 | 2025-10-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $4,915 | 0.8× | 4 | 2026-09-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $4,918 | 0.7× | 4 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $4,918 | 0.7× | 4 | 2026-04-01 |
| Mercy Hospital St Louis | St. Louis MO | $4,953 | 0.7× | 1 | 2026-06-04 |
| Mercy Hospital Jefferson | St. Louis MO | $4,953 | 0.7× | 1 | 2026-06-10 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $4,961 | 0.8× | 2 | 2026-07-14 |
| Ascension Seton Medical Center Austin | Austin TX | $5,028 | 0.8× | 1 | 2026-01-01 |
| George Washington Univ Hospital | Washington DC | $5,292 | 0.7× | 3 | 2026-09-01 |
| Riddle Memorial Hospital | Philadelphia PA | $5,567 | 0.8× | 2 | 2026-04-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $5,642 | 0.8× | 3 | 2026-04-01 |
| Stony Brook University Hospital | New York (statewide) | $5,783 | 0.7× | 5 | 2026-06-10 |
| Bryn Mawr Hospital | Philadelphia PA | $5,840 | 0.9× | 2 | 2026-04-01 |
| Methodist Hospital | San Antonio TX | $6,058 | 0.9× | 5 | 2026-09-01 |
| Henderson Hospital | Las Vegas NV | $6,125 | 0.9× | 1 | 2026-09-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $6,180 | 0.9× | 3 | 2026-04-01 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $6,252 | 0.9× | 2 | 2026-06-15 |
| Tampa General Hospital | Tampa FL | $6,490 | 0.9× | 1 | 2026-04-01 |
| Beverly Hospital Corporation | Boston MA | $6,599 | 0.8× | 3 | 2026-04-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $6,646 | 1.0× | 1 | 2026-03-06 |
| Houston Methodist Hospital | Houston TX | $6,671 | 1.0× | 5 | 2026-04-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $6,703 | 1.0× | 3 | 2026-06-29 |
| Emory University Hospital | Atlanta GA | $6,746 | 1.0× | 6 | 2026-04-01 |
| Montefiore Medical Center | New York City | $6,824 | 0.8× | 8 | 2026-04-01 |
| St David's Medical Center | Austin TX | $7,019 | 1.1× | 5 | 2026-09-01 |
| Harper University Hospital | Detroit MI | $7,166 | 1.1× | 1 | 2026-09-02 |
| HCA HealthONE Swedish | Denver CO | $7,276 | 1.0× | 4 | 2026-09-01 |
| HCA HealthONE Sky Ridge | Denver CO | $7,337 | 1.1× | 4 | 2026-09-01 |
| Hca Healthone Rose | Denver CO | $7,492 | 1.1× | 4 | 2026-09-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $7,492 | 1.1× | 4 | 2026-09-01 |
| New England Baptist Hospital | Boston MA | $7,656 | 1.0× | 3 | 2026-04-01 |
| Endeavor Health Edward Hospital | Chicago IL | $7,798 | 1.1× | 2 | 2026-04-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $7,870 | 1.4× | 3 | 2026-04-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $7,948 | 1.3× | 3 | 2026-06-16 |
| Trinity Health Oakland Hospital | Detroit MI | $8,011 | 1.2× | 16 | 2026-03-31 |
| UCHealth University of Colorado Hospital | Denver CO | $8,269 | 1.2× | 3 | 2025-11-01 |
| Menorah Medical Center | Kansas (statewide) | $8,282 | 1.3× | 5 | 2026-09-01 |
| Reston Hospital Center | Washington DC | $8,330 | 1.2× | 4 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $8,330 | 1.2× | 4 | 2026-09-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $8,403 | 1.2× | 7 | 2026-07-01 |
| Scripps Green Hospital | San Diego CA | $8,540 | 1.0× | 1 | 2026-03-30 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $8,632 | 1.2× | 2 | 2026-04-01 |
| Winchester Hospital | Boston MA | $8,640 | 1.1× | 2 | 2026-04-01 |
| Inova Alexandria Hospital | Washington DC | $8,741 | 1.3× | 5 | 2026-04-01 |
| Keck Hospital Of Usc | Los Angeles CA | $8,770 | 1.0× | 5 | 2026-04-01 |
| Morton Plant Hospital | Tampa FL | $9,017 | 1.3× | 2 | 2026-01-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $9,022 | 1.2× | 3 | 2026-09-15 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $9,139 | 1.4× | 3 | 2026-01-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $9,179 | 1.4× | 4 | 2026-09-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $9,426 | 1.2× | 1 | 2026-04-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $9,431 | 1.4× | 1 | 2026-01-01 |
| Henrico Doctors' Hospital | Richmond VA | $9,508 | 1.5× | 4 | 2026-09-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $9,630 | 1.4× | 3 | 2026-09-15 |
| Loyola University Medical Center | Chicago IL | $9,762 | 1.4× | 1 | 2026-03-31 |
| Medical City Mckinney | Dallas-Fort Worth TX | $9,880 | 1.5× | 5 | 2026-09-01 |
| Anna Jaques Hospital | Boston MA | $10,266 | 1.3× | 2 | 2026-04-01 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $10,854 | 1.4× | 1 | 2026-04-01 |
| University of Chicago Medical Center | Chicago IL | $11,205 | 1.6× | 2 | 2026-04-01 |
| Adventhealth Porter | Denver CO | $11,519 | 1.6× | 2 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $11,519 | 1.6× | 2 | 2026-04-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $11,612 | 1.9× | 2 | 2026-06-15 |
| Beth Israel Deaconess Medical Center | Boston MA | $11,781 | 1.5× | 2 | 2026-04-01 |
| Medina Hospital | Cleveland OH | $11,906 | 1.9× | 1 | 2026-06-15 |
| Medical City Plano | Dallas-Fort Worth TX | $11,960 | 1.8× | 5 | 2026-09-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $13,320 | 1.8× | 1 | 2026-03-24 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $13,600 | 2.2× | 1 | 2026-06-15 |
| Legacy Emanuel Medical Center | Portland OR | $14,470 | 2.0× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $14,470 | 2.0× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $14,470 | 2.0× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $14,470 | 2.0× | 5 | 2026-04-01 |
| Los Robles Hospital & Medical Center | California (statewide) | $16,402 | 1.9× | 5 | 2026-09-01 |
| Bethesda North | Ohio (statewide) | $17,240 | 2.7× | 4 | 2026-04-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $17,757 | 2.3× | 5 | 2026-04-01 |
| Riverview Health | Indianapolis IN | $18,284 | 2.6× | 2 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $18,962 | 2.3× | 7 | 2026-01-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $19,140 | 2.9× | 2 | 2026-04-21 |
| St Clare Hospital | Seattle-Tacoma WA | $20,151 | 2.6× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $20,507 | 2.6× | 6 | 2026-02-28 |
| Providence St Vincent Medical Center | Portland OR | $22,773 | 3.1× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $22,773 | 3.1× | 3 | 2026-04-01 |
| Swedish Medical Center | Seattle-Tacoma WA | $23,300 | 3.0× | 5 | 2026-04-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $25,517 | 3.0× | 3 | 2025-11-26 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $27,517 | 3.5× | 5 | 2026-08-27 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $28,971 | 3.7× | 4 | 2026-08-27 |
| Stanford Health Care | San Francisco Bay Area CA | $31,632 | 3.2× | 4 | 2026-04-01 |
| Mount Carmel New Albany Surgical Hospital | Columbus OH | $49,567 | 7.7× | 20 | 2026-03-31 |
CPT 19307: Mast Mod Rad
82 hospitals in 32 markets. National Medicare rate $6,784, surgery center $2,848.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 1 | — | — | — | $7,374–$7,374 |
| Austin TX | 2 | — | — | — | $5,028–$8,970 |
| Boston MA | 7 | $7,688 | $8,170 | $9,846 | $6,481–$11,781 |
| California (statewide) | 1 | — | — | — | $16,949–$16,949 |
| Chicago IL | 5 | $6,364 | $7,164 | $8,167 | $5,081–$15,232 |
| Cleveland OH | 4 | — | — | — | $6,053–$15,402 |
| Columbus OH | 1 | — | — | — | $49,567–$49,567 |
| Dallas-Fort Worth TX | 4 | — | — | — | $10,795–$21,074 |
| Denver CO | 7 | $9,032 | $9,320 | $11,922 | $8,701–$12,924 |
| Detroit MI | 2 | — | — | — | $8,165–$8,655 |
| Georgia (statewide) | 1 | — | — | — | $8,655–$8,655 |
| Houston TX | 1 | — | — | — | $10,373–$10,373 |
| Indianapolis IN | 1 | — | — | — | $19,830–$19,830 |
| Kansas (statewide) | 1 | — | — | — | $9,093–$9,093 |
| Las Vegas NV | 2 | — | — | — | $4,960–$9,123 |
| Los Angeles CA | 2 | — | — | — | $20,314–$29,239 |
| Nashville TN | 3 | — | — | — | $3,672–$5,748 |
| New York City | 2 | — | — | — | $7,487–$18,962 |
| Ohio (statewide) | 1 | — | — | — | $14,692–$14,692 |
| Pennsylvania (statewide) | 1 | — | — | — | $18,730–$18,730 |
| Philadelphia PA | 5 | $8,558 | $10,400 | $12,593 | $8,099–$12,874 |
| Phoenix AZ | 3 | — | — | — | $5,975–$6,514 |
| Pittsburgh PA | 1 | — | — | — | $10,742–$10,742 |
| Portland OR | 6 | $17,644 | $17,644 | $21,491 | $17,644–$22,773 |
| Richmond VA | 2 | — | — | — | $10,230–$11,296 |
| San Antonio TX | 1 | — | — | — | $9,628–$9,628 |
| San Diego CA | 1 | — | — | — | $8,540–$8,540 |
| San Francisco Bay Area CA | 1 | — | — | — | $35,977–$35,977 |
| Seattle-Tacoma WA | 6 | $20,240 | $21,904 | $24,096 | $17,757–$25,940 |
| Tampa FL | 2 | — | — | — | $7,507–$10,540 |
| Washington DC | 4 | — | — | — | $6,312–$11,070 |
| Wisconsin (statewide) | 1 | — | — | — | $10,645–$10,645 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Vanderbilt University Medical Center | Nashville TN | $3,672 | 0.6× | 4 | 2025-10-01 |
| Henderson Hospital | Las Vegas NV | $4,960 | 0.7× | 3 | 2026-09-01 |
| Ascension Seton Medical Center Austin | Austin TX | $5,028 | 0.8× | 1 | 2026-01-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $5,081 | 0.7× | 3 | 2026-04-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $5,597 | 0.9× | 1 | 2026-01-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $5,748 | 0.9× | 5 | 2026-09-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $5,975 | 0.8× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $5,975 | 0.8× | 5 | 2026-04-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $6,053 | 1.0× | 4 | 2026-07-14 |
| George Washington Univ Hospital | Washington DC | $6,312 | 0.8× | 3 | 2026-09-01 |
| Endeavor Health Edward Hospital | Chicago IL | $6,364 | 0.9× | 2 | 2026-04-01 |
| Beverly Hospital Corporation | Boston MA | $6,481 | 0.8× | 3 | 2026-04-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $6,514 | 0.9× | 4 | 2026-04-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $7,164 | 1.0× | 2 | 2026-04-01 |
| Emory University Hospital | Atlanta GA | $7,374 | 1.1× | 6 | 2026-04-01 |
| Montefiore Medical Center | New York City | $7,487 | 0.9× | 8 | 2026-04-01 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $7,496 | 0.9× | 2 | 2026-04-01 |
| Tampa General Hospital | Tampa FL | $7,507 | 1.1× | 2 | 2026-04-01 |
| Winchester Hospital | Boston MA | $7,880 | 1.0× | 3 | 2026-04-01 |
| Bryn Mawr Hospital | Philadelphia PA | $8,099 | 1.2× | 2 | 2026-04-01 |
| Harper University Hospital | Detroit MI | $8,165 | 1.2× | 1 | 2026-09-02 |
| Endeavor Health Evanston Hospital | Chicago IL | $8,167 | 1.1× | 3 | 2026-04-01 |
| New England Baptist Hospital | Boston MA | $8,170 | 1.0× | 4 | 2026-04-01 |
| Scripps Green Hospital | San Diego CA | $8,540 | 1.0× | 1 | 2026-03-30 |
| Riddle Memorial Hospital | Philadelphia PA | $8,558 | 1.3× | 2 | 2026-04-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $8,655 | 1.5× | 3 | 2026-04-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $8,655 | 1.3× | 1 | 2026-01-01 |
| HCA HealthONE Swedish | Denver CO | $8,701 | 1.2× | 4 | 2026-09-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $8,939 | 1.3× | 4 | 2026-09-01 |
| St David's Medical Center | Austin TX | $8,970 | 1.3× | 5 | 2026-09-01 |
| Menorah Medical Center | Kansas (statewide) | $9,093 | 1.4× | 4 | 2026-09-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $9,123 | 1.3× | 8 | 2026-07-01 |
| HCA HealthONE Sky Ridge | Denver CO | $9,124 | 1.3× | 4 | 2026-09-01 |
| Hca Healthone Rose | Denver CO | $9,320 | 1.3× | 4 | 2026-09-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $9,426 | 1.2× | 1 | 2026-04-01 |
| Methodist Hospital | San Antonio TX | $9,628 | 1.4× | 5 | 2026-09-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $10,230 | 1.6× | 4 | 2026-09-01 |
| Anna Jaques Hospital | Boston MA | $10,266 | 1.3× | 2 | 2026-04-01 |
| Houston Methodist Hospital | Houston TX | $10,373 | 1.6× | 4 | 2026-04-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $10,400 | 1.4× | 3 | 2026-09-15 |
| Reston Hospital Center | Washington DC | $10,460 | 1.5× | 4 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $10,479 | 1.5× | 4 | 2026-09-01 |
| Morton Plant Hospital | Tampa FL | $10,540 | 1.5× | 2 | 2026-01-01 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $10,645 | 1.6× | 3 | 2026-01-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $10,742 | 1.7× | 1 | 2026-03-06 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $10,795 | 1.6× | 3 | 2026-06-29 |
| UCHealth University of Colorado Hospital | Denver CO | $10,919 | 1.6× | 3 | 2025-11-01 |
| Inova Alexandria Hospital | Washington DC | $11,070 | 1.6× | 5 | 2026-04-01 |
| Henrico Doctors' Hospital | Richmond VA | $11,296 | 1.7× | 4 | 2026-09-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $11,781 | 1.5× | 1 | 2026-04-01 |
| Medina Hospital | Cleveland OH | $11,906 | 1.9× | 1 | 2026-06-15 |
| Thomas Jefferson University Hospital | Philadelphia PA | $12,593 | 1.9× | 3 | 2026-09-15 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $12,874 | 1.7× | 1 | 2026-03-24 |
| Adventhealth Porter | Denver CO | $12,924 | 1.8× | 3 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $12,924 | 1.8× | 3 | 2026-04-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $13,112 | 2.0× | 5 | 2026-09-01 |
| Medical City Plano | Dallas-Fort Worth TX | $13,355 | 2.0× | 5 | 2026-09-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $13,600 | 2.2× | 1 | 2026-06-15 |
| Bethesda North | Ohio (statewide) | $14,692 | 2.3× | 4 | 2026-04-01 |
| University of Chicago Medical Center | Chicago IL | $15,232 | 2.1× | 2 | 2026-04-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $15,402 | 2.5× | 1 | 2026-06-15 |
| Los Robles Hospital & Medical Center | California (statewide) | $16,949 | 2.0× | 5 | 2026-09-01 |
| Legacy Emanuel Medical Center | Portland OR | $17,644 | 2.4× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $17,644 | 2.4× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $17,644 | 2.4× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $17,644 | 2.4× | 5 | 2026-04-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $17,757 | 2.3× | 5 | 2026-04-01 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $18,730 | 2.8× | 8 | 2026-07-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $18,962 | 2.3× | 7 | 2026-01-01 |
| Riverview Health | Indianapolis IN | $19,830 | 2.8× | 2 | 2026-04-01 |
| St Clare Hospital | Seattle-Tacoma WA | $20,151 | 2.6× | 6 | 2026-02-28 |
| Keck Hospital Of Usc | Los Angeles CA | $20,314 | 2.4× | 4 | 2026-04-01 |
| St Anthony Hospital | Seattle-Tacoma WA | $20,507 | 2.6× | 6 | 2026-02-28 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $21,074 | 3.2× | 2 | 2026-04-21 |
| Providence St Vincent Medical Center | Portland OR | $22,773 | 3.1× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $22,773 | 3.1× | 3 | 2026-04-01 |
| Swedish Medical Center | Seattle-Tacoma WA | $23,300 | 3.0× | 5 | 2026-04-01 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $24,362 | 3.1× | 7 | 2026-08-27 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $25,940 | 3.4× | 6 | 2026-08-27 |
| Cedars-Sinai Medical Center | Los Angeles CA | $29,239 | 3.4× | 2 | 2025-11-26 |
| Stanford Health Care | San Francisco Bay Area CA | $35,977 | 3.7× | 3 | 2026-04-01 |
| Mount Carmel New Albany Surgical Hospital | Columbus OH | $49,567 | 7.7× | 20 | 2026-03-31 |
MS-DRG 583: Mastectomy for Malignancy Without Cc/McC
115 hospitals in 38 markets. National Medicare rate $12,548.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 4 | — | — | — | $29,641–$35,589 |
| Austin TX | 2 | — | — | — | $11,228–$14,311 |
| Boston MA | 7 | $15,326 | $15,951 | $17,777 | $12,954–$25,133 |
| California (statewide) | 1 | — | — | — | $19,429–$19,429 |
| Charlotte NC | 2 | — | — | — | $27,246–$33,710 |
| Chicago IL | 7 | $18,988 | $22,926 | $25,360 | $15,600–$32,074 |
| Cleveland OH | 5 | $19,412 | $23,698 | $25,941 | $18,732–$26,644 |
| Columbus OH | 1 | — | — | — | $38,247–$38,247 |
| Dallas-Fort Worth TX | 4 | — | — | — | $22,444–$35,528 |
| Denver CO | 7 | $13,125 | $18,068 | $31,566 | $12,578–$36,297 |
| Detroit MI | 6 | $24,155 | $34,914 | $54,432 | $24,155–$74,990 |
| Florida (statewide) | 1 | — | — | — | $47,644–$47,644 |
| Georgia (statewide) | 1 | — | — | — | $32,561–$32,561 |
| Houston TX | 1 | — | — | — | $27,294–$27,294 |
| Indianapolis IN | 3 | — | — | — | $15,520–$25,045 |
| Kansas (statewide) | 1 | — | — | — | $18,761–$18,761 |
| Las Vegas NV | 1 | — | — | — | $18,181–$18,181 |
| Los Angeles CA | 2 | — | — | — | $32,339–$52,784 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $21,062–$27,572 |
| Minneapolis-St. Paul MN | 4 | — | — | — | $26,066–$29,218 |
| Nashville TN | 4 | — | — | — | $14,384–$30,258 |
| New York (statewide) | 1 | — | — | — | $33,011–$33,011 |
| New York City | 2 | — | — | — | $16,148–$55,341 |
| Ohio (statewide) | 1 | — | — | — | $30,163–$30,163 |
| Pennsylvania (statewide) | 1 | — | — | — | $33,661–$33,661 |
| Philadelphia PA | 5 | $28,822 | $32,341 | $42,262 | $26,422–$46,907 |
| Phoenix AZ | 3 | — | — | — | $28,192–$28,448 |
| Pittsburgh PA | 1 | — | — | — | $45,014–$45,014 |
| Portland OR | 6 | $36,156 | $37,290 | $41,535 | $35,846–$42,767 |
| Research Triangle NC | 3 | — | — | — | $18,489–$25,791 |
| Richmond VA | 3 | — | — | — | $27,002–$40,627 |
| Salt Lake City UT | 3 | — | — | — | $45,555–$47,377 |
| San Antonio TX | 1 | — | — | — | $15,639–$15,639 |
| San Diego CA | 1 | — | — | — | $25,590–$25,590 |
| Seattle-Tacoma WA | 6 | $37,072 | $37,150 | $37,254 | $32,359–$46,609 |
| St. Louis MO | 2 | — | — | — | $24,707–$30,993 |
| Tampa FL | 4 | — | — | — | $33,194–$40,986 |
| Washington DC | 6 | $23,213 | $31,780 | $35,284 | $20,500–$40,830 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Ascension Seton Medical Center Austin | Austin TX | $11,228 | 0.9× | 1 | 2026-01-01 |
| HCA HealthONE Swedish | Denver CO | $12,578 | 1.0× | 5 | 2026-09-01 |
| HCA HealthONE Sky Ridge | Denver CO | $12,916 | 1.0× | 5 | 2026-09-01 |
| Anna Jaques Hospital | Boston MA | $12,954 | 0.9× | 1 | 2026-04-01 |
| Hca Healthone Rose | Denver CO | $13,334 | 1.0× | 5 | 2026-09-01 |
| St David's Medical Center | Austin TX | $14,311 | 1.2× | 5 | 2026-09-01 |
| Ascension Saint Thomas Rutherford | Nashville TN | $14,384 | 1.2× | 6 | 2026-01-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $14,702 | 1.0× | 1 | 2026-04-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $14,993 | 1.3× | 7 | 2026-09-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $15,386 | 1.3× | 7 | 2026-01-01 |
| Ascension St Vincent Carmel | Indianapolis IN | $15,520 | 1.2× | 5 | 2026-01-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $15,600 | 1.2× | 3 | 2026-04-01 |
| Methodist Hospital | San Antonio TX | $15,639 | 1.3× | 4 | 2026-09-01 |
| Ascension St Vincent Anderson | Indianapolis IN | $15,894 | 1.2× | 5 | 2026-01-01 |
| Beverly Hospital Corporation | Boston MA | $15,951 | 1.1× | 1 | 2026-04-01 |
| Winchester Hospital | Boston MA | $15,951 | 1.1× | 1 | 2026-04-01 |
| Montefiore Medical Center | New York City | $16,148 | 1.0× | 1 | 2026-04-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $17,172 | 1.1× | 2 | 2026-04-01 |
| Endeavor Health Edward Hospital | Chicago IL | $18,007 | 1.4× | 3 | 2026-04-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $18,068 | 1.4× | 5 | 2026-09-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $18,181 | 1.4× | 2 | 2026-07-01 |
| New England Baptist Hospital | Boston MA | $18,382 | 1.2× | 3 | 2026-04-01 |
| North Carolina Specialty Hospital | Research Triangle NC | $18,489 | 1.5× | 1 | 2026-02-25 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $18,732 | 1.6× | 4 | 2026-06-15 |
| Menorah Medical Center | Kansas (statewide) | $18,761 | 1.6× | 6 | 2026-09-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $19,412 | 1.7× | 3 | 2026-07-14 |
| Los Robles Hospital & Medical Center | California (statewide) | $19,429 | 1.2× | 3 | 2026-09-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $19,969 | 1.5× | 3 | 2026-04-01 |
| Reston Hospital Center | Washington DC | $20,500 | 1.6× | 5 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $20,500 | 1.6× | 5 | 2026-09-01 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $21,062 | 1.6× | 4 | 2026-06-15 |
| Medical City Mckinney | Dallas-Fort Worth TX | $22,444 | 1.8× | 6 | 2026-09-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $22,926 | 1.7× | 3 | 2026-04-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $22,966 | 1.9× | 4 | 2026-06-29 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $23,698 | 2.0× | 5 | 2026-06-15 |
| UNC Hospitals (Chapel Hill) | Research Triangle NC | $24,033 | 2.0× | 3 | 2026-04-01 |
| Medical City Plano | Dallas-Fort Worth TX | $24,054 | 1.9× | 6 | 2026-09-01 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $24,155 | 2.0× | 3 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $24,155 | 2.0× | 3 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $24,155 | 2.0× | 3 | 2026-05-01 |
| Loyola University Medical Center | Chicago IL | $24,314 | 1.8× | 4 | 2026-03-31 |
| Barnes-Jewish West County Hospital | St. Louis MO | $24,707 | 2.0× | 3 | 2025-12-15 |
| Hendricks Regional Health | Indianapolis IN | $25,045 | 1.9× | 3 | 2026-05-20 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $25,133 | 1.7× | 4 | 2026-04-01 |
| Scripps Green Hospital | San Diego CA | $25,590 | 1.6× | 6 | 2026-03-30 |
| Duke University Hospital | Research Triangle NC | $25,791 | 2.1× | 3 | 2026-04-01 |
| Medina Hospital | Cleveland OH | $25,941 | 2.2× | 4 | 2026-06-15 |
| Mercy Hospital (Allina, Coon Rapids) | Minneapolis-St. Paul MN | $26,066 | 2.0× | 4 | 2026-06-17 |
| United Hospital (Allina) | Minneapolis-St. Paul MN | $26,066 | 2.0× | 4 | 2026-06-16 |
| Rush University Medical Center | Chicago IL | $26,406 | 2.0× | 4 | 2026-09-25 |
| Riddle Memorial Hospital | Philadelphia PA | $26,422 | 2.1× | 4 | 2026-04-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $26,644 | 2.3× | 5 | 2026-06-16 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $27,002 | 2.3× | 5 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $27,002 | 2.3× | 5 | 2026-09-01 |
| Atrium Health Pineville | Charlotte NC | $27,246 | 2.3× | 2 | 2025-12-05 |
| Houston Methodist Hospital | Houston TX | $27,294 | 2.2× | 2 | 2026-04-01 |
| Mount Sinai Medical Center Of Florida, Inc | Miami-Fort Lauderdale FL | $27,572 | 2.1× | 3 | 2026-03-13 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $28,192 | 2.1× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $28,192 | 2.1× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $28,448 | 2.2× | 4 | 2026-04-01 |
| Bryn Mawr Hospital | Philadelphia PA | $28,822 | 2.3× | 4 | 2026-04-01 |
| Abbott Northwestern Hospital | Minneapolis-St. Paul MN | $29,174 | 2.3× | 5 | 2026-06-16 |
| Buffalo Hospital | Minneapolis-St. Paul MN | $29,218 | 2.3× | 3 | 2026-06-16 |
| Emory University Hospital | Atlanta GA | $29,641 | 2.4× | 5 | 2026-04-01 |
| Bethesda North | Ohio (statewide) | $30,163 | 2.5× | 5 | 2026-04-01 |
| Vanderbilt University Medical Center | Nashville TN | $30,258 | 2.6× | 6 | 2025-10-01 |
| Barnes Jewish Hospital | St. Louis MO | $30,993 | 2.5× | 3 | 2025-12-15 |
| George Washington Univ Hospital | Washington DC | $31,353 | 2.1× | 3 | 2026-09-01 |
| Adventhealth Porter | Denver CO | $31,566 | 2.4× | 2 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $31,566 | 2.4× | 2 | 2026-04-01 |
| University of Chicago Medical Center | Chicago IL | $32,074 | 2.4× | 5 | 2026-04-01 |
| Inova Alexandria Hospital | Washington DC | $32,207 | 2.5× | 5 | 2026-04-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $32,339 | 2.0× | 1 | 2025-11-26 |
| Jefferson Stratford Hospital | Philadelphia PA | $32,341 | 2.3× | 5 | 2026-09-15 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $32,359 | 2.2× | 6 | 2026-04-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $32,561 | 3.0× | 4 | 2026-04-01 |
| Stony Brook University Hospital | New York (statewide) | $33,011 | 2.1× | 1 | 2026-06-10 |
| Tampa General Hospital | Tampa FL | $33,194 | 2.6× | 4 | 2026-04-01 |
| Piedmont Fayette Hospital | Atlanta GA | $33,433 | 2.7× | 5 | 2026-07-01 |
| Morton Plant Hospital | Tampa FL | $33,610 | 2.6× | 5 | 2026-01-01 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $33,661 | 2.7× | 5 | 2026-07-01 |
| Novant Health Matthews Medical Center | Charlotte NC | $33,710 | 2.8× | 3 | 2026-03-30 |
| Piedmont Newnan Hospital | Atlanta GA | $35,194 | 2.9× | 4 | 2026-07-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $35,528 | 2.9× | 4 | 2026-04-21 |
| Piedmont Atlanta Hospital | Atlanta GA | $35,589 | 2.9× | 4 | 2026-07-01 |
| Legacy Meridian Park Medical Center | Portland OR | $35,846 | 2.6× | 4 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $35,960 | 2.6× | 4 | 2026-04-01 |
| UCHealth University of Colorado Hospital | Denver CO | $36,297 | 2.8× | 6 | 2025-11-01 |
| Medstar Washington Hospital Center | Washington DC | $36,309 | 2.5× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $36,742 | 2.7× | 4 | 2026-04-01 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $37,063 | 2.5× | 6 | 2026-08-27 |
| St Clare Hospital | Seattle-Tacoma WA | $37,101 | 2.6× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $37,199 | 2.6× | 6 | 2026-02-28 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $37,273 | 2.6× | 6 | 2026-08-27 |
| Adventhealth Tampa | Tampa FL | $37,276 | 2.9× | 4 | 2026-04-01 |
| Legacy Emanuel Medical Center | Portland OR | $37,838 | 2.8× | 4 | 2026-04-01 |
| Ohio State University Hospitals | Columbus OH | $38,247 | 3.2× | 3 | 2026-07-01 |
| VCU Medical Center | Richmond VA | $40,627 | 3.4× | 3 | 2026-01-02 |
| Medstar Georgetown University Hospital | Washington DC | $40,830 | 2.8× | 4 | 2026-04-01 |
| Adventhealth Carrollwood | Tampa FL | $40,986 | 3.2× | 4 | 2026-04-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $42,262 | 3.4× | 5 | 2026-09-15 |
| Providence St Vincent Medical Center | Portland OR | $42,767 | 3.1× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $42,767 | 3.1× | 3 | 2026-04-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $45,014 | 3.8× | 1 | 2026-03-06 |
| Mckay-Dee Hospital | Salt Lake City UT | $45,555 | 3.7× | 1 | 2026-08-05 |
| Corewell Health Dearborn Hospital | Detroit MI | $45,672 | 3.7× | 2 | 2026-05-01 |
| Swedish Medical Center | Seattle-Tacoma WA | $46,609 | 3.2× | 5 | 2026-04-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $46,907 | 3.4× | 5 | 2026-03-24 |
| Intermountain Health Utah Valley Hospital | Salt Lake City UT | $47,377 | 3.8× | 1 | 2026-08-05 |
| Lds Hospital | Salt Lake City UT | $47,377 | 3.8× | 1 | 2026-08-05 |
| Orlando Health Orlando Regional Medical Center | Florida (statewide) | $47,644 | 3.7× | 4 | 2026-04-01 |
| Keck Hospital Of Usc | Los Angeles CA | $52,784 | 3.3× | 7 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $55,341 | 3.5× | 7 | 2026-01-01 |
| Harper University Hospital | Detroit MI | $57,352 | 4.7× | 2 | 2026-09-02 |
| Henry Ford Health Rochester Hospital | Detroit MI | $74,990 | 6.1× | 1 | 2026-01-01 |
MS-DRG 582: Mastectomy for Malignancy With Cc/McC
116 hospitals in 37 markets. National Medicare rate $14,019.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 4 | — | — | — | $31,600–$38,298 |
| Austin TX | 2 | — | — | — | $12,544–$15,845 |
| Boston MA | 7 | $17,124 | $17,821 | $19,862 | $14,473–$28,080 |
| California (statewide) | 1 | — | — | — | $21,672–$21,672 |
| Charlotte NC | 2 | — | — | — | $29,046–$37,663 |
| Chicago IL | 7 | $20,243 | $24,442 | $27,712 | $16,631–$35,835 |
| Cleveland OH | 5 | $21,688 | $26,477 | $28,982 | $20,928–$29,768 |
| Columbus OH | 1 | — | — | — | $42,732–$42,732 |
| Dallas-Fort Worth TX | 4 | — | — | — | $25,054–$37,876 |
| Denver CO | 7 | $16,578 | $18,068 | $35,267 | $15,932–$40,553 |
| Detroit MI | 7 | $26,988 | $50,646 | $71,116 | $26,988–$82,932 |
| Florida (statewide) | 1 | — | — | — | $50,794–$50,794 |
| Georgia (statewide) | 1 | — | — | — | $34,714–$34,714 |
| Houston TX | 1 | — | — | — | $29,500–$29,500 |
| Indianapolis IN | 3 | — | — | — | $15,520–$27,982 |
| Kansas (statewide) | 1 | — | — | — | $20,961–$20,961 |
| Las Vegas NV | 1 | — | — | — | $19,382–$19,382 |
| Los Angeles CA | 2 | — | — | — | $36,130–$58,973 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $23,532–$30,805 |
| Minneapolis-St. Paul MN | 5 | $30,931 | $30,931 | $32,644 | $28,814–$36,342 |
| Nashville TN | 4 | — | — | — | $15,084–$33,806 |
| New York (statewide) | 1 | — | — | — | $33,011–$33,011 |
| New York City | 2 | — | — | — | $17,216–$61,830 |
| Ohio (statewide) | 1 | — | — | — | $33,700–$33,700 |
| Pennsylvania (statewide) | 1 | — | — | — | $37,608–$37,608 |
| Philadelphia PA | 5 | $31,518 | $36,133 | $47,218 | $28,820–$52,395 |
| Phoenix AZ | 3 | — | — | — | $31,498–$31,783 |
| Pittsburgh PA | 1 | — | — | — | $49,109–$49,109 |
| Portland OR | 6 | $40,143 | $41,424 | $46,890 | $39,206–$48,534 |
| Research Triangle NC | 4 | — | — | — | $14,214–$26,329 |
| Richmond VA | 3 | — | — | — | $28,998–$43,311 |
| Salt Lake City UT | 3 | — | — | — | $35,115–$36,519 |
| San Antonio TX | 1 | — | — | — | $17,378–$17,378 |
| Seattle-Tacoma WA | 6 | $39,656 | $40,487 | $41,318 | $37,944–$49,691 |
| St. Louis MO | 1 | — | — | — | $33,195–$33,195 |
| Tampa FL | 4 | — | — | — | $35,389–$45,792 |
| Washington DC | 6 | $25,761 | $34,682 | $39,182 | $22,903–$45,618 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Ascension Seton Medical Center Austin | Austin TX | $12,544 | 0.9× | 1 | 2026-01-01 |
| North Carolina Specialty Hospital | Research Triangle NC | $14,214 | 1.0× | 2 | 2026-02-25 |
| Anna Jaques Hospital | Boston MA | $14,473 | 0.9× | 1 | 2026-04-01 |
| Ascension Saint Thomas Rutherford | Nashville TN | $15,084 | 1.1× | 6 | 2026-01-01 |
| Ascension St Vincent Carmel | Indianapolis IN | $15,520 | 1.1× | 5 | 2026-01-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $15,724 | 1.2× | 7 | 2026-01-01 |
| St David's Medical Center | Austin TX | $15,845 | 1.1× | 5 | 2026-09-01 |
| Ascension St Vincent Anderson | Indianapolis IN | $15,894 | 1.1× | 5 | 2026-01-01 |
| Hca Healthone Rose | Denver CO | $15,932 | 1.1× | 5 | 2026-09-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $16,095 | 1.2× | 7 | 2026-09-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $16,426 | 1.0× | 1 | 2026-04-01 |
| HCA HealthONE Sky Ridge | Denver CO | $16,460 | 1.1× | 5 | 2026-09-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $16,631 | 1.1× | 3 | 2026-04-01 |
| HCA HealthONE Swedish | Denver CO | $16,696 | 1.1× | 5 | 2026-09-01 |
| Montefiore Medical Center | New York City | $17,216 | 1.0× | 1 | 2026-04-01 |
| Methodist Hospital | San Antonio TX | $17,378 | 1.3× | 4 | 2026-09-01 |
| Beverly Hospital Corporation | Boston MA | $17,821 | 1.1× | 1 | 2026-04-01 |
| Winchester Hospital | Boston MA | $17,821 | 1.1× | 1 | 2026-04-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $18,068 | 1.2× | 5 | 2026-09-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $19,185 | 1.1× | 2 | 2026-04-01 |
| Endeavor Health Edward Hospital | Chicago IL | $19,197 | 1.3× | 3 | 2026-04-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $19,382 | 1.3× | 2 | 2026-07-01 |
| New England Baptist Hospital | Boston MA | $20,538 | 1.2× | 3 | 2026-04-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $20,928 | 1.6× | 4 | 2026-06-15 |
| Menorah Medical Center | Kansas (statewide) | $20,961 | 1.6× | 6 | 2026-09-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $21,289 | 1.4× | 3 | 2026-04-01 |
| Los Robles Hospital & Medical Center | California (statewide) | $21,672 | 1.2× | 3 | 2026-09-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $21,688 | 1.7× | 3 | 2026-07-14 |
| UNC Rex Hospital | Research Triangle NC | $22,554 | 1.6× | 3 | 2026-04-01 |
| Reston Hospital Center | Washington DC | $22,903 | 1.6× | 5 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $22,903 | 1.6× | 5 | 2026-09-01 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $23,532 | 1.6× | 4 | 2026-06-15 |
| Endeavor Health Evanston Hospital | Chicago IL | $24,442 | 1.6× | 3 | 2026-04-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $25,054 | 1.8× | 4 | 2026-06-29 |
| UNC Hospitals (Chapel Hill) | Research Triangle NC | $25,620 | 1.9× | 3 | 2026-04-01 |
| Loyola University Medical Center | Chicago IL | $25,920 | 1.8× | 4 | 2026-03-31 |
| Duke University Hospital | Research Triangle NC | $26,329 | 1.9× | 3 | 2026-04-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $26,477 | 2.0× | 5 | 2026-06-15 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $26,988 | 2.0× | 3 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $26,988 | 2.0× | 3 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $26,988 | 2.0× | 3 | 2026-05-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $27,140 | 2.0× | 6 | 2026-09-01 |
| Hendricks Regional Health | Indianapolis IN | $27,982 | 1.9× | 3 | 2026-05-20 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $28,080 | 1.7× | 4 | 2026-04-01 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $28,814 | 2.0× | 3 | 2026-03-31 |
| Riddle Memorial Hospital | Philadelphia PA | $28,820 | 2.0× | 4 | 2026-04-01 |
| Medina Hospital | Cleveland OH | $28,982 | 2.2× | 4 | 2026-06-15 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $28,998 | 2.2× | 5 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $28,998 | 2.2× | 5 | 2026-09-01 |
| Atrium Health Pineville | Charlotte NC | $29,046 | 2.2× | 2 | 2025-12-05 |
| Medical City Plano | Dallas-Fort Worth TX | $29,202 | 2.1× | 6 | 2026-09-01 |
| Houston Methodist Hospital | Houston TX | $29,500 | 2.1× | 2 | 2026-04-01 |
| Rush University Medical Center | Chicago IL | $29,503 | 2.0× | 4 | 2026-09-25 |
| Cleveland Clinic (main campus) | Cleveland OH | $29,768 | 2.3× | 5 | 2026-06-16 |
| Mount Sinai Medical Center Of Florida, Inc | Miami-Fort Lauderdale FL | $30,805 | 2.1× | 3 | 2026-03-13 |
| Mercy Hospital (Allina, Coon Rapids) | Minneapolis-St. Paul MN | $30,931 | 2.1× | 4 | 2026-06-17 |
| United Hospital (Allina) | Minneapolis-St. Paul MN | $30,931 | 2.1× | 4 | 2026-06-16 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $31,498 | 2.1× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $31,498 | 2.1× | 5 | 2026-04-01 |
| Bryn Mawr Hospital | Philadelphia PA | $31,518 | 2.2× | 4 | 2026-04-01 |
| Emory University Hospital | Atlanta GA | $31,600 | 2.3× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $31,783 | 2.2× | 4 | 2026-04-01 |
| Buffalo Hospital | Minneapolis-St. Paul MN | $32,644 | 2.3× | 3 | 2026-06-16 |
| Stony Brook University Hospital | New York (statewide) | $33,011 | 1.9× | 1 | 2026-06-10 |
| Barnes Jewish Hospital | St. Louis MO | $33,195 | 2.4× | 3 | 2025-12-15 |
| Bethesda North | Ohio (statewide) | $33,700 | 2.5× | 5 | 2026-04-01 |
| Vanderbilt University Medical Center | Nashville TN | $33,806 | 2.6× | 6 | 2025-10-01 |
| Inova Alexandria Hospital | Washington DC | $34,334 | 2.4× | 5 | 2026-04-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $34,714 | 2.9× | 4 | 2026-04-01 |
| George Washington Univ Hospital | Washington DC | $35,029 | 2.1× | 3 | 2026-09-01 |
| Mckay-Dee Hospital | Salt Lake City UT | $35,115 | 2.5× | 1 | 2026-08-05 |
| Adventhealth Porter | Denver CO | $35,267 | 2.4× | 2 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $35,267 | 2.4× | 2 | 2026-04-01 |
| Tampa General Hospital | Tampa FL | $35,389 | 2.5× | 4 | 2026-04-01 |
| Morton Plant Hospital | Tampa FL | $35,830 | 2.5× | 5 | 2026-01-01 |
| University of Chicago Medical Center | Chicago IL | $35,835 | 2.4× | 5 | 2026-04-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $36,130 | 2.0× | 1 | 2025-11-26 |
| Jefferson Stratford Hospital | Philadelphia PA | $36,133 | 2.3× | 5 | 2026-09-15 |
| Abbott Northwestern Hospital | Minneapolis-St. Paul MN | $36,342 | 2.5× | 5 | 2026-06-16 |
| Piedmont Atlanta Hospital | Atlanta GA | $36,383 | 2.6× | 5 | 2026-07-01 |
| Intermountain Health Utah Valley Hospital | Salt Lake City UT | $36,519 | 2.6× | 1 | 2026-08-05 |
| Lds Hospital | Salt Lake City UT | $36,519 | 2.6× | 1 | 2026-08-05 |
| Piedmont Fayette Hospital | Atlanta GA | $37,353 | 2.7× | 5 | 2026-07-01 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $37,608 | 2.7× | 5 | 2026-07-01 |
| Novant Health Matthews Medical Center | Charlotte NC | $37,663 | 2.8× | 3 | 2026-03-30 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $37,876 | 2.8× | 4 | 2026-04-21 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $37,944 | 2.4× | 6 | 2026-04-01 |
| Piedmont Newnan Hospital | Atlanta GA | $38,298 | 2.8× | 5 | 2026-07-01 |
| Legacy Meridian Park Medical Center | Portland OR | $39,206 | 2.5× | 4 | 2026-04-01 |
| St Clare Hospital | Seattle-Tacoma WA | $39,656 | 2.5× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $39,656 | 2.5× | 6 | 2026-02-28 |
| Legacy Mount Hood Medical Center | Portland OR | $39,895 | 2.6× | 4 | 2026-04-01 |
| UCHealth University of Colorado Hospital | Denver CO | $40,553 | 2.8× | 6 | 2025-11-01 |
| Medstar Washington Hospital Center | Washington DC | $40,566 | 2.5× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $40,888 | 2.7× | 4 | 2026-04-01 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $41,318 | 2.5× | 6 | 2026-08-27 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $41,318 | 2.5× | 6 | 2026-08-27 |
| Adventhealth Tampa | Tampa FL | $41,646 | 2.9× | 4 | 2026-04-01 |
| Legacy Emanuel Medical Center | Portland OR | $41,959 | 2.7× | 4 | 2026-04-01 |
| Ohio State University Hospitals | Columbus OH | $42,732 | 3.2× | 3 | 2026-07-01 |
| VCU Medical Center | Richmond VA | $43,311 | 3.2× | 3 | 2026-01-02 |
| Medstar Georgetown University Hospital | Washington DC | $45,618 | 2.8× | 4 | 2026-04-01 |
| Adventhealth Carrollwood | Tampa FL | $45,792 | 3.2× | 4 | 2026-04-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $47,218 | 3.4× | 5 | 2026-09-15 |
| Providence St Vincent Medical Center | Portland OR | $48,534 | 3.2× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $48,534 | 3.2× | 3 | 2026-04-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $49,109 | 3.7× | 1 | 2026-03-06 |
| Swedish Medical Center | Seattle-Tacoma WA | $49,691 | 3.1× | 5 | 2026-04-01 |
| Corewell Health Dearborn Hospital | Detroit MI | $50,646 | 3.7× | 2 | 2026-05-01 |
| Orlando Health Orlando Regional Medical Center | Florida (statewide) | $50,794 | 3.5× | 4 | 2026-04-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $52,395 | 3.4× | 5 | 2026-03-24 |
| Keck Hospital Of Usc | Los Angeles CA | $58,973 | 3.3× | 7 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $61,830 | 3.5× | 7 | 2026-01-01 |
| Harper University Hospital | Detroit MI | $63,593 | 4.7× | 2 | 2026-09-02 |
| Trinity Health Oakland Hospital | Detroit MI | $78,639 | 5.8× | 17 | 2026-03-31 |
| Henry Ford Health Rochester Hospital | Detroit MI | $82,932 | 6.1× | 1 | 2026-01-01 |
Questions
How much do commercial insurers pay hospitals for mastectomy?
Across 88 hospitals in 34 metro areas that post a usable dollar rate, the median commercial rate for CPT 19303, hospital outpatient is $8,636, 1.2× the same hospital's local Medicare base rate. The middle half of hospitals runs $6,665 to $12,300. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for mastectomy?
Medicare's national hospital outpatient rate for CPT 19303 is $6,784 and its surgery-center rate is $2,848, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for mastectomy?
Lowest medians: Ascension Saint Thomas Hospital (Midtown + West) ($3,942), Endeavor Health Northwest Community Hospital ($4,035), Vanderbilt University Medical Center ($4,566). Highest: Mount Carmel New Albany Surgical Hospital ($49,567), Stanford Health Care ($31,632), Multicare Good Samaritan Hospital ($28,971). Coverage is limited to the markets listed on this page.