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.
Open the interactive explorerAll operations
CPT 19303: Mastectomy
1056 hospitals in 80 markets. National Medicare rate $6,784, surgery center $2,848.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 13 | $5,583 | $6,150 | $7,716 | $4,411–$18,284 |
| Alaska (statewide) | 4 | — | — | — | $6,491–$21,370 |
| Arizona (statewide) | 9 | $5,366 | $5,642 | $7,469 | $4,112–$7,761 |
| Arkansas (statewide) | 8 | $4,960 | $5,974 | $6,622 | $4,748–$9,014 |
| Atlanta GA | 6 | $6,746 | $6,746 | $7,250 | $6,746–$7,418 |
| Austin TX | 13 | $5,028 | $5,849 | $5,849 | $5,028–$9,518 |
| Boston MA | 11 | $8,177 | $10,266 | $10,904 | $7,268–$12,349 |
| California (statewide) | 53 | $9,394 | $17,611 | $24,678 | $5,816–$24,678 |
| Charlotte NC | 5 | $7,753 | $7,753 | $7,753 | $7,648–$7,753 |
| Chicago IL | 8 | $7,394 | $9,197 | $10,219 | $4,035–$11,205 |
| Cleveland OH | 10 | $6,296 | $7,366 | $7,852 | $4,828–$11,079 |
| Colorado (statewide) | 16 | $7,174 | $8,080 | $8,972 | $5,510–$19,951 |
| Columbus OH | 1 | — | — | — | $49,567–$49,567 |
| Connecticut (statewide) | 2 | — | — | — | $6,002–$27,666 |
| Dallas-Fort Worth TX | 12 | $9,338 | $9,560 | $9,738 | $7,168–$19,466 |
| Denver CO | 15 | $7,498 | $7,689 | $11,230 | $6,733–$12,959 |
| Detroit MI | 9 | $8,011 | $9,125 | $10,057 | $7,166–$12,598 |
| Florida (statewide) | 56 | $7,581 | $8,301 | $10,960 | $6,582–$15,595 |
| Georgia (statewide) | 30 | $6,100 | $7,418 | $10,426 | $3,108–$22,292 |
| Hawaii (statewide) | 4 | — | — | — | $6,585–$12,698 |
| Houston TX | 19 | $6,077 | $6,731 | $9,194 | $5,172–$12,674 |
| Idaho (statewide) | 14 | $8,188 | $13,318 | $16,565 | $4,794–$19,758 |
| Illinois (statewide) | 26 | $6,591 | $9,462 | $11,169 | $5,481–$19,375 |
| Indiana (statewide) | 30 | $10,538 | $14,989 | $22,462 | $5,488–$36,385 |
| Indianapolis IN | 2 | — | — | — | $16,287–$18,284 |
| Iowa (statewide) | 18 | $6,901 | $9,704 | $11,797 | $6,540–$16,017 |
| Kansas (statewide) | 15 | $7,076 | $8,348 | $9,120 | $4,956–$21,370 |
| Kentucky (statewide) | 14 | $5,580 | $7,752 | $8,413 | $3,216–$12,323 |
| Las Vegas NV | 2 | — | — | — | $7,328–$8,403 |
| Los Angeles CA | 17 | $9,513 | $10,678 | $11,927 | $6,423–$25,517 |
| Louisiana (statewide) | 23 | $5,891 | $6,207 | $8,830 | $3,894–$11,700 |
| Maine (statewide) | 16 | $26,722 | $30,326 | $31,024 | $7,032–$39,005 |
| Maryland (statewide) | 1 | — | — | — | $6,439–$6,439 |
| Massachusetts (statewide) | 6 | $6,412 | $7,220 | $7,618 | $5,621–$9,116 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $6,465–$6,465 |
| Michigan (statewide) | 23 | $6,595 | $7,920 | $9,002 | $3,712–$11,604 |
| Minneapolis-St. Paul MN | 7 | $5,341 | $5,341 | $8,438 | $5,235–$14,037 |
| Minnesota (statewide) | 12 | $11,974 | $17,832 | $21,284 | $5,341–$28,819 |
| Mississippi (statewide) | 17 | $7,108 | $8,233 | $9,156 | $5,527–$18,699 |
| Missouri (statewide) | 15 | $7,549 | $8,060 | $9,674 | $3,567–$11,739 |
| Montana (statewide) | 4 | — | — | — | $13,004–$19,393 |
| Nashville TN | 7 | $4,472 | $4,566 | $4,864 | $3,942–$4,915 |
| Nebraska (statewide) | 12 | $8,306 | $9,875 | $10,655 | $3,494–$20,585 |
| Nevada (statewide) | 4 | — | — | — | $6,125–$12,896 |
| New Hampshire (statewide) | 6 | $14,922 | $17,986 | $21,486 | $12,993–$29,735 |
| New Jersey (statewide) | 15 | $8,842 | $13,569 | $19,600 | $7,567–$20,188 |
| New Mexico (statewide) | 7 | $7,081 | $8,138 | $14,866 | $5,729–$17,333 |
| New York (statewide) | 30 | $6,924 | $9,072 | $12,994 | $5,258–$21,518 |
| New York City | 7 | $5,278 | $5,294 | $9,247 | $5,217–$17,737 |
| North Carolina (statewide) | 5 | $6,783 | $7,586 | $12,278 | $5,922–$14,738 |
| North Dakota (statewide) | 5 | $10,007 | $11,282 | $11,515 | $6,500–$14,899 |
| Ohio (statewide) | 34 | $7,204 | $12,640 | $15,796 | $4,277–$25,522 |
| Oklahoma (statewide) | 8 | $10,580 | $12,966 | $13,562 | $7,408–$15,945 |
| Oregon (statewide) | 8 | $16,700 | $19,284 | $24,056 | $13,246–$29,850 |
| Pennsylvania (statewide) | 31 | $7,486 | $9,982 | $14,289 | $4,719–$29,365 |
| Philadelphia PA | 11 | $5,810 | $7,717 | $8,692 | $5,527–$13,320 |
| Phoenix AZ | 8 | $4,794 | $4,918 | $5,099 | $4,420–$5,642 |
| Pittsburgh PA | 9 | $6,646 | $11,822 | $13,644 | $5,340–$16,414 |
| Portland OR | 9 | $14,470 | $14,470 | $22,773 | $14,108–$22,773 |
| Rhode Island (statewide) | 4 | — | — | — | $7,346–$12,989 |
| Richmond VA | 3 | — | — | — | $8,702–$9,000 |
| Rio Grande Valley TX | 6 | $7,675 | $8,482 | $8,629 | $7,455–$8,961 |
| Salt Lake City UT | 9 | $5,937 | $6,076 | $6,076 | $5,876–$6,276 |
| San Antonio TX | 3 | — | — | — | $5,849–$7,960 |
| San Diego CA | 7 | $14,519 | $14,519 | $14,612 | $11,957–$15,748 |
| San Francisco Bay Area CA | 4 | — | — | — | $8,356–$31,632 |
| Seattle-Tacoma WA | 16 | $16,537 | $17,748 | $23,038 | $15,051–$25,940 |
| South Carolina (statewide) | 19 | $10,364 | $12,275 | $17,742 | $5,758–$20,079 |
| South Dakota (statewide) | 3 | — | — | — | $8,285–$32,415 |
| St. Louis MO | 2 | — | — | — | $9,958–$9,958 |
| Tampa FL | 6 | $9,017 | $9,017 | $9,628 | $9,017–$15,523 |
| Tennessee (statewide) | 26 | $4,449 | $5,326 | $6,593 | $3,196–$20,711 |
| Texas (statewide) | 77 | $6,617 | $8,432 | $9,560 | $3,465–$36,385 |
| Utah (statewide) | 6 | $5,876 | $5,906 | $5,937 | $5,788–$6,076 |
| Vermont (statewide) | 1 | — | — | — | $5,300–$5,300 |
| Virginia (statewide) | 18 | $14,604 | $16,996 | $18,716 | $6,280–$20,431 |
| Washington (statewide) | 12 | $15,790 | $18,604 | $21,436 | $4,924–$34,077 |
| Washington DC | 9 | $7,397 | $7,397 | $7,414 | $6,312–$8,773 |
| West Virginia (statewide) | 3 | — | — | — | $7,239–$26,403 |
| Wisconsin (statewide) | 39 | $7,222 | $10,492 | $11,088 | $3,375–$20,348 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Adventhealth Gordon | Georgia (statewide) | $3,108 | 0.5× | 3 | 2026-04-01 |
| Adventhealth Murray | Georgia (statewide) | $3,108 | 0.5× | 3 | 2026-04-01 |
| Southern Tennessee Regional Health System Pulaski | Tennessee (statewide) | $3,196 | 0.5× | 1 | 2026-07-14 |
| Southern Tennessee Regional Health System Lawrence | Tennessee (statewide) | $3,196 | 0.5× | 1 | 2026-07-14 |
| Norton Hospital | Kentucky (statewide) | $3,216 | 0.5× | 1 | 2026-02-11 |
| Livingston Regional Hospital | Tennessee (statewide) | $3,280 | 0.5× | 2 | 2026-04-01 |
| Ascension Ne Wisconsin - St Elizabeth Campus | Wisconsin (statewide) | $3,375 | 0.5× | 2 | 2026-01-01 |
| Ascension Calumet Hospital | Wisconsin (statewide) | $3,375 | 0.5× | 2 | 2026-01-01 |
| Morgan Medical Center | Georgia (statewide) | $3,400 | 0.5× | 1 | 2026-07-28 |
| Memorial Medical Center | Texas (statewide) | $3,465 | 0.5× | 1 | 2026-09-14 |
| Chi Health Plainview | Nebraska (statewide) | $3,494 | 0.5× | 1 | 2026-02-28 |
| Nkc Health | Missouri (statewide) | $3,567 | 0.5× | 3 | 2026-03-06 |
| Northern Light Blue Hill Memorial Hospital | Maine (statewide) | $31,024 | 4.8× | 2 | 2026-03-30 |
| Northern Light C A Dean Hospital | Maine (statewide) | $31,024 | 4.8× | 2 | 2026-03-30 |
| Northern Light Sebasticook Valley Hospital | Maine (statewide) | $31,024 | 4.8× | 2 | 2026-03-30 |
| Stanford Health Care | San Francisco Bay Area CA | $31,632 | 3.2× | 4 | 2026-04-01 |
| Mainehealth Waldo Hospital | Maine (statewide) | $32,042 | 4.9× | 1 | 2025-09-09 |
| Same Day Surgery Center Llc | South Dakota (statewide) | $32,415 | 4.8× | 2 | 2026-09-10 |
| Northern Light Mayo Hospital | Maine (statewide) | $32,674 | 5.0× | 2 | 2026-03-30 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $34,077 | 4.4× | 5 | 2026-08-27 |
| Parkview Regional Medical Center | Indiana (statewide) | $36,385 | 5.2× | 1 | 2026-09-01 |
| Parkview Hospital | Texas (statewide) | $36,385 | 5.5× | 1 | 2026-09-01 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $39,005 | 6.0× | 1 | 2025-09-09 |
| Mount Carmel New Albany Surgical Hospital | Columbus OH | $49,567 | 7.7× | 24 | 2026-03-31 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
CPT 19307: Mastectomy
1029 hospitals in 78 markets. National Medicare rate $6,784, surgery center $2,848.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 12 | $7,376 | $8,718 | $11,807 | $6,010–$21,736 |
| Alaska (statewide) | 5 | $7,973 | $8,760 | $9,866 | $4,372–$28,117 |
| Arizona (statewide) | 9 | $5,557 | $6,514 | $8,705 | $4,112–$11,788 |
| Arkansas (statewide) | 7 | $5,359 | $5,825 | $6,866 | $4,236–$9,014 |
| Atlanta GA | 6 | $7,374 | $7,374 | $9,688 | $7,374–$10,460 |
| Austin TX | 13 | $5,028 | $8,483 | $8,483 | $5,028–$9,972 |
| Boston MA | 10 | $7,958 | $10,276 | $10,812 | $5,621–$12,349 |
| California (statewide) | 53 | $9,394 | $19,242 | $24,678 | $6,225–$35,965 |
| Charlotte NC | 5 | $7,753 | $7,753 | $7,753 | $7,648–$7,753 |
| Chicago IL | 7 | $6,764 | $8,167 | $10,607 | $5,081–$15,232 |
| Cleveland OH | 10 | $6,788 | $6,910 | $10,550 | $6,148–$11,156 |
| Colorado (statewide) | 15 | $8,503 | $9,964 | $13,021 | $4,360–$19,951 |
| Columbus OH | 1 | — | — | — | $49,567–$49,567 |
| Connecticut (statewide) | 2 | — | — | — | $6,108–$27,666 |
| Dallas-Fort Worth TX | 12 | $10,384 | $11,207 | $12,684 | $9,880–$19,070 |
| Denver CO | 15 | $9,574 | $9,964 | $12,942 | $6,964–$15,654 |
| Detroit MI | 6 | $8,217 | $8,514 | $10,639 | $8,165–$11,838 |
| Florida (statewide) | 61 | $8,264 | $9,531 | $11,995 | $5,026–$18,047 |
| Georgia (statewide) | 29 | $6,761 | $7,787 | $10,460 | $3,567–$26,004 |
| Hawaii (statewide) | 4 | — | — | — | $8,504–$20,992 |
| Houston TX | 19 | $8,330 | $9,255 | $10,599 | $8,217–$12,674 |
| Idaho (statewide) | 11 | $9,426 | $14,760 | $16,565 | $5,943–$19,758 |
| Illinois (statewide) | 22 | $7,118 | $10,040 | $11,126 | $5,938–$19,375 |
| Indiana (statewide) | 26 | $8,792 | $14,070 | $20,580 | $4,316–$36,385 |
| Indianapolis IN | 1 | — | — | — | $19,830–$19,830 |
| Iowa (statewide) | 17 | $9,532 | $11,909 | $14,079 | $4,123–$17,160 |
| Kansas (statewide) | 12 | $8,905 | $10,136 | $11,322 | $5,258–$28,117 |
| Kentucky (statewide) | 15 | $6,904 | $8,490 | $9,624 | $3,314–$12,323 |
| Las Vegas NV | 2 | — | — | — | $4,469–$9,123 |
| Los Angeles CA | 17 | $11,743 | $12,848 | $14,948 | $9,908–$29,239 |
| Louisiana (statewide) | 23 | $6,221 | $6,718 | $9,273 | $4,920–$13,959 |
| Maine (statewide) | 16 | $26,722 | $30,326 | $31,024 | $7,032–$39,005 |
| Maryland (statewide) | 1 | — | — | — | $3,618–$3,618 |
| Massachusetts (statewide) | 6 | $6,574 | $7,866 | $8,841 | $5,621–$9,930 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $12,176–$12,176 |
| Michigan (statewide) | 26 | $6,604 | $7,274 | $8,446 | $3,712–$11,604 |
| Minneapolis-St. Paul MN | 7 | $7,151 | $7,151 | $10,764 | $7,000–$17,990 |
| Minnesota (statewide) | 12 | $13,574 | $17,832 | $21,284 | $7,151–$28,819 |
| Mississippi (statewide) | 17 | $7,514 | $8,233 | $9,156 | $6,240–$18,109 |
| Missouri (statewide) | 13 | $9,912 | $10,363 | $10,781 | $4,000–$13,429 |
| Montana (statewide) | 4 | — | — | — | $13,004–$19,393 |
| Nashville TN | 7 | $4,634 | $5,748 | $5,748 | $3,672–$5,748 |
| Nebraska (statewide) | 13 | $4,469 | $11,294 | $11,294 | $3,502–$23,542 |
| Nevada (statewide) | 4 | — | — | — | $4,469–$7,124 |
| New Hampshire (statewide) | 6 | $16,569 | $19,748 | $22,305 | $12,993–$29,735 |
| New Jersey (statewide) | 13 | $7,567 | $7,680 | $12,874 | $7,567–$16,414 |
| New Mexico (statewide) | 8 | $7,180 | $10,674 | $15,086 | $3,845–$19,534 |
| New York (statewide) | 28 | $7,415 | $9,900 | $13,574 | $4,968–$21,518 |
| New York City | 7 | $6,504 | $8,098 | $9,190 | $6,492–$17,737 |
| North Carolina (statewide) | 5 | $6,783 | $10,761 | $12,166 | $6,185–$16,699 |
| North Dakota (statewide) | 5 | $11,203 | $11,282 | $11,515 | $8,927–$14,899 |
| Ohio (statewide) | 36 | $6,910 | $13,610 | $17,483 | $3,466–$25,522 |
| Oklahoma (statewide) | 8 | $10,427 | $12,313 | $14,141 | $3,721–$16,414 |
| Oregon (statewide) | 8 | $16,700 | $18,851 | $24,056 | $14,913–$29,850 |
| Pennsylvania (statewide) | 33 | $7,320 | $13,344 | $22,190 | $4,766–$30,545 |
| Philadelphia PA | 11 | $8,146 | $9,780 | $10,687 | $8,000–$14,930 |
| Phoenix AZ | 8 | $5,975 | $6,244 | $6,586 | $5,975–$6,800 |
| Pittsburgh PA | 8 | $10,096 | $12,533 | $13,803 | $6,470–$16,414 |
| Portland OR | 9 | $17,644 | $17,644 | $25,160 | $16,812–$25,160 |
| Rhode Island (statewide) | 3 | — | — | — | $12,661–$13,490 |
| Richmond VA | 3 | — | — | — | $9,358–$11,102 |
| Rio Grande Valley TX | 6 | $8,629 | $8,795 | $10,239 | $8,336–$10,665 |
| Salt Lake City UT | 9 | $5,937 | $6,076 | $6,076 | $5,876–$6,076 |
| San Antonio TX | 3 | — | — | — | $7,571–$7,960 |
| San Diego CA | 7 | $14,519 | $14,519 | $14,612 | $11,957–$15,748 |
| San Francisco Bay Area CA | 4 | — | — | — | $9,226–$35,977 |
| Seattle-Tacoma WA | 16 | $16,519 | $17,055 | $17,706 | $12,208–$23,360 |
| South Carolina (statewide) | 19 | $11,528 | $16,268 | $20,794 | $6,950–$34,118 |
| South Dakota (statewide) | 3 | — | — | — | $10,108–$32,415 |
| Tampa FL | 6 | $10,540 | $10,540 | $10,540 | $9,732–$15,638 |
| Tennessee (statewide) | 23 | $5,441 | $5,748 | $6,585 | $3,514–$10,956 |
| Texas (statewide) | 73 | $6,914 | $9,752 | $12,674 | $4,254–$36,385 |
| Utah (statewide) | 7 | $5,876 | $5,937 | $6,006 | $5,788–$22,643 |
| Virginia (statewide) | 18 | $16,746 | $19,611 | $21,264 | $8,856–$22,520 |
| Washington (statewide) | 11 | $15,860 | $17,255 | $19,376 | $6,684–$31,202 |
| Washington DC | 9 | $9,927 | $9,927 | $9,927 | $8,339–$10,392 |
| West Virginia (statewide) | 3 | — | — | — | $7,239–$26,403 |
| Wisconsin (statewide) | 39 | $8,090 | $12,371 | $12,794 | $3,285–$20,348 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Thedacare Regional Medical Center - Neenah Inc | Wisconsin (statewide) | $3,285 | 0.5× | 1 | 2026-08-08 |
| St Claire Regional Medical Center | Kentucky (statewide) | $3,314 | 0.5× | 1 | 2026-06-18 |
| Paulding County Hospital | Ohio (statewide) | $3,466 | 0.6× | 3 | 2025-11-01 |
| The Nebraska Medical Center | Nebraska (statewide) | $3,502 | 0.5× | 2 | 2026-08-10 |
| Livingston Regional Hospital | Tennessee (statewide) | $3,514 | 0.6× | 2 | 2026-04-01 |
| Vanderbilt Bedford Hospital | Tennessee (statewide) | $3,522 | 0.6× | 4 | 2025-10-01 |
| Adventhealth Gordon | Georgia (statewide) | $3,567 | 0.6× | 1 | 2026-04-01 |
| Adventhealth Murray | Georgia (statewide) | $3,567 | 0.6× | 1 | 2026-04-01 |
| Nationwide Children'S Hospital | Ohio (statewide) | $3,589 | 0.6× | 1 | 2026-04-01 |
| Chi Health Schuyler | Nebraska (statewide) | $3,607 | 0.5× | 1 | 2026-02-28 |
| Atlantic General Hospital | Maryland (statewide) | $3,618 | 0.6× | 1 | 2026-04-10 |
| Vanderbilt Tullahoma-Harton Hospital | Tennessee (statewide) | $3,638 | 0.6× | 4 | 2025-10-01 |
| Northern Light Sebasticook Valley Hospital | Maine (statewide) | $31,024 | 4.8× | 2 | 2026-03-30 |
| Providence Centralia Hospital | Washington (statewide) | $31,202 | 4.2× | 4 | 2026-04-01 |
| Mainehealth Waldo Hospital | Maine (statewide) | $32,042 | 4.9× | 1 | 2025-09-09 |
| Same Day Surgery Center Llc | South Dakota (statewide) | $32,415 | 4.8× | 2 | 2026-09-10 |
| Northern Light Mayo Hospital | Maine (statewide) | $32,674 | 5.0× | 2 | 2026-03-30 |
| Mcleod Medical Center - Dillon | South Carolina (statewide) | $34,118 | 5.5× | 1 | 2026-07-20 |
| Providence Redwood Memorial Hospital | California (statewide) | $35,965 | 4.2× | 3 | 2026-04-01 |
| Stanford Health Care | San Francisco Bay Area CA | $35,977 | 3.7× | 3 | 2026-04-01 |
| Parkview Regional Medical Center | Indiana (statewide) | $36,385 | 5.2× | 1 | 2026-09-01 |
| Parkview Hospital | Texas (statewide) | $36,385 | 5.5× | 1 | 2026-09-01 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $39,005 | 6.0× | 1 | 2025-09-09 |
| Mount Carmel New Albany Surgical Hospital | Columbus OH | $49,567 | 7.7× | 24 | 2026-03-31 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
MS-DRG 583: Mastectomy for Malignancy Without Cc/McC
1326 hospitals in 82 markets. National Medicare rate $12,548.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 21 | $14,657 | $17,162 | $19,618 | $11,553–$39,112 |
| Alaska (statewide) | 3 | — | — | — | $15,251–$54,310 |
| Arizona (statewide) | 25 | $22,755 | $28,936 | $32,236 | $15,494–$37,972 |
| Arkansas (statewide) | 6 | $14,071 | $15,306 | $16,041 | $12,655–$17,165 |
| Atlanta GA | 10 | $29,641 | $33,433 | $35,490 | $29,641–$48,356 |
| Austin TX | 13 | $10,877 | $16,818 | $20,454 | $9,063–$23,638 |
| Boston MA | 13 | $14,702 | $15,951 | $23,082 | $12,229–$35,776 |
| California (statewide) | 48 | $19,480 | $24,548 | $31,100 | $13,670–$101,797 |
| Charlotte NC | 8 | $25,010 | $27,086 | $33,710 | $19,344–$33,710 |
| Chicago IL | 9 | $19,969 | $24,314 | $27,770 | $15,600–$32,074 |
| Cleveland OH | 11 | $21,354 | $23,044 | $23,778 | $17,882–$29,096 |
| Colorado (statewide) | 16 | $22,651 | $31,622 | $39,874 | $10,565–$54,217 |
| Columbus OH | 1 | — | — | — | $35,050–$35,050 |
| Connecticut (statewide) | 4 | — | — | — | $32,872–$81,015 |
| Dallas-Fort Worth TX | 15 | $16,749 | $19,494 | $22,528 | $15,136–$36,949 |
| Delaware (statewide) | 1 | — | — | — | $52,151–$52,151 |
| Denver CO | 15 | $19,772 | $22,502 | $34,251 | $14,352–$44,361 |
| Detroit MI | 12 | $23,621 | $23,621 | $35,141 | $14,264–$57,352 |
| Florida (statewide) | 88 | $16,406 | $17,806 | $33,205 | $12,262–$51,796 |
| Georgia (statewide) | 44 | $22,790 | $34,156 | $38,238 | $13,651–$48,356 |
| Hawaii (statewide) | 11 | $22,849 | $26,492 | $34,709 | $19,925–$38,337 |
| Houston TX | 19 | $17,128 | $20,966 | $25,272 | $14,920–$41,127 |
| Idaho (statewide) | 9 | $23,193 | $24,608 | $27,361 | $17,793–$31,310 |
| Illinois (statewide) | 38 | $17,090 | $18,993 | $25,173 | $11,607–$46,303 |
| Indiana (statewide) | 39 | $14,732 | $22,548 | $28,136 | $8,970–$37,695 |
| Indianapolis IN | 4 | — | — | — | $13,700–$31,565 |
| Iowa (statewide) | 13 | $15,441 | $18,047 | $23,934 | $13,936–$27,877 |
| Kansas (statewide) | 18 | $11,706 | $14,939 | $21,557 | $10,618–$54,310 |
| Kentucky (statewide) | 17 | $15,047 | $17,040 | $22,714 | $10,156–$37,889 |
| Las Vegas NV | 2 | — | — | — | $26,908–$33,423 |
| Los Angeles CA | 18 | $27,029 | $29,330 | $31,094 | $23,062–$38,234 |
| Louisiana (statewide) | 23 | $12,170 | $15,406 | $17,906 | $10,227–$22,014 |
| Maine (statewide) | 13 | $33,342 | $46,762 | $52,139 | $13,295–$52,139 |
| Massachusetts (statewide) | 6 | $17,951 | $21,954 | $23,535 | $12,294–$24,566 |
| Miami-Fort Lauderdale FL | 3 | — | — | — | $17,380–$19,869 |
| Michigan (statewide) | 30 | $20,403 | $23,498 | $33,966 | $13,589–$80,853 |
| Minneapolis-St. Paul MN | 12 | $26,066 | $28,208 | $29,185 | $23,054–$30,665 |
| Minnesota (statewide) | 20 | $21,835 | $22,005 | $28,061 | $9,467–$35,868 |
| Mississippi (statewide) | 17 | $18,349 | $19,745 | $20,892 | $12,813–$28,568 |
| Missouri (statewide) | 21 | $16,747 | $18,761 | $21,574 | $12,074–$33,028 |
| Montana (statewide) | 6 | $19,446 | $25,959 | $32,360 | $7,842–$51,041 |
| Nashville TN | 8 | $14,749 | $15,106 | $19,314 | $14,594–$31,540 |
| Nebraska (statewide) | 15 | $27,854 | $29,310 | $34,304 | $19,232–$41,184 |
| Nevada (statewide) | 4 | — | — | — | $22,218–$34,248 |
| New Hampshire (statewide) | 8 | $21,008 | $25,615 | $30,752 | $17,064–$40,558 |
| New Jersey (statewide) | 21 | $27,026 | $30,755 | $35,783 | $17,252–$47,287 |
| New Mexico (statewide) | 8 | $15,686 | $21,160 | $26,209 | $11,157–$49,460 |
| New York (statewide) | 43 | $17,230 | $21,555 | $31,204 | $12,511–$52,668 |
| New York City | 8 | $31,210 | $32,777 | $37,953 | $14,638–$53,094 |
| North Carolina (statewide) | 24 | $24,272 | $26,754 | $33,874 | $13,774–$42,795 |
| North Dakota (statewide) | 7 | $20,515 | $20,876 | $22,396 | $19,163–$29,658 |
| Ohio (statewide) | 38 | $17,861 | $26,504 | $31,615 | $11,077–$44,568 |
| Oklahoma (statewide) | 15 | $13,412 | $17,252 | $18,884 | $11,033–$30,506 |
| Oregon (statewide) | 8 | $28,762 | $31,520 | $36,522 | $25,878–$44,568 |
| Pennsylvania (statewide) | 54 | $20,016 | $25,200 | $29,373 | $12,400–$48,216 |
| Philadelphia PA | 11 | $28,695 | $29,268 | $33,231 | $26,422–$47,287 |
| Phoenix AZ | 11 | $28,192 | $28,192 | $29,564 | $26,091–$31,275 |
| Pittsburgh PA | 7 | $28,140 | $29,592 | $32,072 | $18,652–$39,724 |
| Portland OR | 9 | $34,825 | $37,018 | $42,767 | $33,034–$42,767 |
| Research Triangle NC | 6 | $22,834 | $25,791 | $26,393 | $18,489–$26,594 |
| Rhode Island (statewide) | 6 | $22,908 | $29,132 | $35,509 | $20,982–$37,338 |
| Richmond VA | 5 | $19,931 | $19,931 | $36,978 | $17,226–$40,627 |
| Rio Grande Valley TX | 6 | $18,408 | $19,618 | $20,790 | $17,135–$25,360 |
| Salt Lake City UT | 9 | $31,817 | $31,817 | $31,817 | $31,817–$33,812 |
| San Antonio TX | 3 | — | — | — | $15,940–$38,442 |
| San Diego CA | 6 | $21,131 | $24,927 | $27,740 | $19,950–$28,850 |
| San Francisco Bay Area CA | 2 | — | — | — | $20,500–$30,856 |
| Seattle-Tacoma WA | 16 | $32,590 | $35,216 | $35,775 | $30,548–$46,609 |
| South Carolina (statewide) | 24 | $33,411 | $40,620 | $46,722 | $16,112–$73,025 |
| South Dakota (statewide) | 3 | — | — | — | $22,184–$28,047 |
| St. Louis MO | 3 | — | — | — | $22,669–$28,910 |
| Tampa FL | 11 | $33,010 | $33,205 | $35,597 | $25,301–$38,245 |
| Tennessee (statewide) | 30 | $14,386 | $15,856 | $19,042 | $9,944–$31,540 |
| Texas (statewide) | 87 | $15,513 | $19,494 | $28,902 | $7,634–$48,612 |
| Utah (statewide) | 4 | — | — | — | $31,817–$58,176 |
| Vermont (statewide) | 3 | — | — | — | $20,537–$45,396 |
| Virginia (statewide) | 19 | $26,120 | $32,603 | $34,560 | $16,840–$56,843 |
| Washington (statewide) | 11 | $30,157 | $31,854 | $36,895 | $26,396–$67,194 |
| Washington DC | 11 | $24,794 | $32,218 | $33,199 | $13,938–$36,309 |
| West Virginia (statewide) | 12 | $12,725 | $13,256 | $41,561 | $11,106–$47,012 |
| Wisconsin (statewide) | 47 | $26,035 | $32,101 | $35,868 | $13,088–$41,477 |
| Wyoming (statewide) | 1 | — | — | — | $33,817–$33,817 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Peterson Regional Medical Center | Texas (statewide) | $7,634 | 0.6× | 1 | 2026-08-17 |
| Mccone County Health Center | Montana (statewide) | $7,842 | 0.6× | 1 | 2026-01-01 |
| Schneck Medical Center | Indiana (statewide) | $8,970 | 0.7× | 3 | 2024-01-24 |
| Dell Seton Med Center At The University Of Tx | Austin TX | $9,063 | 0.7× | 1 | 2026-01-01 |
| Ascension Seton Highland Lakes | Texas (statewide) | $9,063 | 0.7× | 1 | 2026-01-01 |
| Ascension Seton Edgar B Davis | Texas (statewide) | $9,063 | 0.7× | 1 | 2026-01-01 |
| Dell Children'S Medical Center | Texas (statewide) | $9,063 | 0.7× | 1 | 2026-01-01 |
| Cedar Park Regional Medical Center | Austin TX | $9,063 | 0.7× | 1 | 2026-01-01 |
| Ascension Seton Smithville | Texas (statewide) | $9,063 | 0.7× | 1 | 2026-01-01 |
| Grand Itasca Clinic And Hospital | Minnesota (statewide) | $9,467 | 0.8× | 1 | 2026-01-28 |
| Livingston Regional Hospital | Tennessee (statewide) | $9,944 | 0.9× | 1 | 2026-04-01 |
| Baptist Health Louisville | Kentucky (statewide) | $10,156 | 0.9× | 5 | 2026-09-25 |
| Intermountain Health Logan Regional Hospital | Utah (statewide) | $55,912 | 4.5× | 11 | 2026-08-05 |
| Carilion New River Valley Medical Center | Virginia (statewide) | $56,843 | 4.8× | 1 | 2025-12-15 |
| Harper University Hospital | Detroit MI | $57,352 | 4.7× | 2 | 2026-09-02 |
| Intermountain Health Park City Hospital | Utah (statewide) | $58,176 | 4.7× | 6 | 2026-08-05 |
| Intermountain Health Heber Valley Hospital | Utah (statewide) | $58,176 | 4.7× | 6 | 2026-08-05 |
| Lac/Olive View-Ucla Medical Center | California (statewide) | $59,477 | 3.7× | 1 | 2026-03-12 |
| Lac/Harbor-Ucla Med Center | California (statewide) | $61,186 | 3.8× | 1 | 2026-03-12 |
| Providence Centralia Hospital | Washington (statewide) | $67,194 | 4.9× | 2 | 2026-04-01 |
| Musc Medical Center | South Carolina (statewide) | $73,025 | 6.4× | 1 | 2026-04-01 |
| Trinity Health Grand Rapids Hospital | Michigan (statewide) | $80,853 | 6.6× | 23 | 2026-03-31 |
| Lawrence & Memorial Hospital | Connecticut (statewide) | $81,015 | 5.3× | 4 | 2026-09-19 |
| Lac/Rancho Los Amigos National Rehabilitation Ctr | California (statewide) | $101,797 | 6.3× | 1 | 2026-03-12 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
MS-DRG 582: Mastectomy for Malignancy With Cc/McC
1329 hospitals in 83 markets. National Medicare rate $14,019.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 19 | $15,949 | $18,062 | $21,022 | $12,908–$41,695 |
| Alaska (statewide) | 4 | — | — | — | $16,982–$57,900 |
| Arizona (statewide) | 25 | $24,260 | $31,783 | $34,396 | $16,460–$40,337 |
| Arkansas (statewide) | 7 | $15,584 | $17,008 | $18,116 | $13,491–$19,659 |
| Atlanta GA | 10 | $31,600 | $36,868 | $38,062 | $31,600–$51,553 |
| Austin TX | 13 | $12,152 | $18,592 | $22,471 | $9,063–$25,805 |
| Boston MA | 12 | $16,044 | $17,821 | $22,273 | $13,662–$39,452 |
| California (statewide) | 49 | $21,672 | $27,597 | $32,686 | $15,274–$106,834 |
| Charlotte NC | 8 | $26,664 | $28,876 | $37,663 | $21,613–$37,663 |
| Chicago IL | 9 | $21,289 | $25,920 | $29,604 | $16,631–$35,835 |
| Cleveland OH | 11 | $23,858 | $25,747 | $26,566 | $19,979–$32,508 |
| Colorado (statewide) | 16 | $25,307 | $33,711 | $44,549 | $11,804–$60,574 |
| Columbus OH | 1 | — | — | — | $39,160–$39,160 |
| Connecticut (statewide) | 6 | $34,969 | $44,714 | $52,791 | $17,350–$89,436 |
| Dallas-Fort Worth TX | 15 | $18,409 | $22,498 | $25,072 | $16,788–$39,390 |
| Delaware (statewide) | 1 | — | — | — | $58,637–$58,637 |
| Denver CO | 15 | $21,560 | $25,141 | $38,267 | $15,932–$48,616 |
| Detroit MI | 13 | $26,391 | $26,391 | $47,986 | $16,245–$78,639 |
| Florida (statewide) | 88 | $17,829 | $19,604 | $35,452 | $13,072–$57,869 |
| Georgia (statewide) | 44 | $24,308 | $37,826 | $43,152 | $15,709–$51,553 |
| Hawaii (statewide) | 11 | $25,029 | $29,346 | $36,510 | $21,844–$41,760 |
| Houston TX | 19 | $18,902 | $22,377 | $27,135 | $17,606–$44,630 |
| Idaho (statewide) | 12 | $24,978 | $29,735 | $43,250 | $19,879–$43,250 |
| Illinois (statewide) | 36 | $18,220 | $21,220 | $27,586 | $12,968–$37,299 |
| Indiana (statewide) | 37 | $15,001 | $26,113 | $32,373 | $12,648–$42,114 |
| Indianapolis IN | 4 | — | — | — | $14,482–$35,266 |
| Iowa (statewide) | 15 | $16,659 | $19,239 | $24,474 | $14,850–$29,718 |
| Kansas (statewide) | 19 | $14,332 | $16,494 | $24,696 | $11,546–$57,900 |
| Kentucky (statewide) | 18 | $16,770 | $18,635 | $24,875 | $10,827–$40,391 |
| Las Vegas NV | 2 | — | — | — | $28,686–$37,134 |
| Los Angeles CA | 18 | $28,849 | $32,074 | $33,300 | $25,766–$42,385 |
| Louisiana (statewide) | 23 | $12,582 | $16,424 | $17,712 | $10,827–$24,305 |
| Maine (statewide) | 13 | $35,544 | $52,246 | $58,253 | $14,854–$58,253 |
| Maryland (statewide) | 1 | — | — | — | $15,675–$15,675 |
| Massachusetts (statewide) | 7 | $20,940 | $23,909 | $26,294 | $13,736–$27,169 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $19,216–$20,547 |
| Michigan (statewide) | 29 | $22,645 | $26,391 | $37,634 | $15,182–$91,213 |
| Minneapolis-St. Paul MN | 13 | $30,073 | $30,073 | $32,644 | $24,576–$36,342 |
| Minnesota (statewide) | 21 | $23,266 | $24,585 | $30,073 | $10,577–$40,073 |
| Mississippi (statewide) | 17 | $21,584 | $22,981 | $23,840 | $13,659–$31,918 |
| Missouri (statewide) | 21 | $18,629 | $20,961 | $23,478 | $12,871–$35,210 |
| Montana (statewide) | 5 | $26,019 | $31,896 | $37,368 | $20,047–$65,365 |
| Nashville TN | 8 | $15,473 | $16,093 | $20,953 | $15,334–$33,623 |
| Nebraska (statewide) | 14 | $29,602 | $31,365 | $36,414 | $20,502–$46,013 |
| Nevada (statewide) | 4 | — | — | — | $24,682–$38,263 |
| New Hampshire (statewide) | 8 | $23,028 | $28,024 | $35,135 | $19,064–$52,788 |
| New Jersey (statewide) | 21 | $29,172 | $34,304 | $42,951 | $18,663–$52,401 |
| New Mexico (statewide) | 8 | $17,460 | $23,148 | $27,942 | $12,288–$52,730 |
| New York (statewide) | 43 | $19,246 | $24,082 | $32,927 | $13,977–$58,000 |
| New York City | 8 | $34,512 | $36,620 | $42,404 | $15,606–$59,320 |
| North Carolina (statewide) | 24 | $24,638 | $28,800 | $37,846 | $14,684–$46,544 |
| North Dakota (statewide) | 7 | $21,521 | $23,293 | $24,764 | $18,322–$31,618 |
| Ohio (statewide) | 39 | $20,078 | $29,670 | $33,972 | $12,376–$48,244 |
| Oklahoma (statewide) | 15 | $14,598 | $18,663 | $20,700 | $11,033–$32,521 |
| Oregon (statewide) | 9 | $30,924 | $32,254 | $40,472 | $29,314–$48,244 |
| Pennsylvania (statewide) | 54 | $21,926 | $28,155 | $32,765 | $14,729–$52,786 |
| Philadelphia PA | 11 | $31,718 | $33,652 | $37,582 | $28,820–$52,401 |
| Phoenix AZ | 11 | $31,498 | $31,498 | $32,218 | $27,814–$33,286 |
| Pittsburgh PA | 7 | $31,234 | $32,530 | $35,423 | $20,839–$40,295 |
| Portland OR | 9 | $38,585 | $41,236 | $48,534 | $35,219–$48,534 |
| Research Triangle NC | 7 | $22,922 | $26,329 | $28,021 | $14,214–$29,713 |
| Rhode Island (statewide) | 5 | $24,646 | $36,873 | $40,606 | $22,462–$41,716 |
| Richmond VA | 5 | $22,268 | $22,268 | $41,314 | $19,193–$43,311 |
| Rio Grande Valley TX | 6 | $20,263 | $21,433 | $22,959 | $18,819–$27,868 |
| Salt Lake City UT | 9 | $38,548 | $38,548 | $38,548 | $36,527–$38,548 |
| San Antonio TX | 3 | — | — | — | $17,763–$39,752 |
| San Diego CA | 4 | — | — | — | $22,176–$32,119 |
| San Francisco Bay Area CA | 2 | — | — | — | $22,850–$32,896 |
| Seattle-Tacoma WA | 16 | $36,376 | $39,789 | $40,052 | $33,716–$49,691 |
| South Carolina (statewide) | 23 | $34,941 | $38,571 | $42,483 | $17,416–$59,190 |
| South Dakota (statewide) | 2 | — | — | — | $26,239–$31,336 |
| St. Louis MO | 2 | — | — | — | $25,428–$33,116 |
| Tampa FL | 11 | $35,398 | $35,398 | $39,772 | $26,974–$42,730 |
| Tennessee (statewide) | 29 | $16,020 | $16,715 | $20,429 | $10,445–$33,623 |
| Texas (statewide) | 86 | $17,246 | $21,824 | $32,024 | $8,719–$53,761 |
| Utah (statewide) | 4 | — | — | — | $38,548–$44,843 |
| Vermont (statewide) | 3 | — | — | — | $21,894–$48,394 |
| Virginia (statewide) | 21 | $31,816 | $37,097 | $39,715 | $18,012–$63,508 |
| Washington (statewide) | 12 | $32,222 | $35,216 | $39,315 | $12,629–$73,420 |
| Washington DC | 11 | $28,343 | $34,440 | $35,722 | $16,736–$40,566 |
| West Virginia (statewide) | 12 | $14,216 | $14,810 | $46,286 | $12,408–$52,194 |
| Wisconsin (statewide) | 46 | $28,924 | $35,574 | $39,868 | $15,215–$46,341 |
| Wyoming (statewide) | 1 | — | — | — | $37,043–$37,043 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Peterson Regional Medical Center | Texas (statewide) | $8,719 | 0.6× | 1 | 2026-08-17 |
| Dell Seton Med Center At The University Of Tx | Austin TX | $9,063 | 0.7× | 1 | 2026-01-01 |
| Ascension Seton Highland Lakes | Texas (statewide) | $9,063 | 0.7× | 1 | 2026-01-01 |
| Ascension Seton Edgar B Davis | Texas (statewide) | $9,063 | 0.7× | 1 | 2026-01-01 |
| Dell Children'S Medical Center | Texas (statewide) | $9,063 | 0.7× | 1 | 2026-01-01 |
| Cedar Park Regional Medical Center | Austin TX | $9,063 | 0.7× | 1 | 2026-01-01 |
| Ascension Seton Smithville | Texas (statewide) | $9,063 | 0.7× | 1 | 2026-01-01 |
| Livingston Regional Hospital | Tennessee (statewide) | $10,445 | 0.8× | 1 | 2026-04-01 |
| Grand Itasca Clinic And Hospital | Minnesota (statewide) | $10,577 | 0.8× | 1 | 2026-01-28 |
| Baptist Health Louisville | Kentucky (statewide) | $10,827 | 0.8× | 3 | 2026-09-25 |
| St Charles Parish Hospital | Louisiana (statewide) | $10,827 | 0.8× | 2 | 2026-04-01 |
| Ascension St John Sapulpa | Oklahoma (statewide) | $11,033 | 0.8× | 4 | 2026-01-01 |
| Intermountain Health St. Mary'S Regional Hospital | Colorado (statewide) | $60,574 | 4.2× | 4 | 2026-03-22 |
| Huron Valley-Sinai Hospital | Detroit MI | $61,180 | 4.5× | 2 | 2026-05-20 |
| Carilion New River Valley Medical Center | Virginia (statewide) | $63,508 | 4.8× | 1 | 2025-12-15 |
| Harper University Hospital | Detroit MI | $63,593 | 4.7× | 2 | 2026-09-02 |
| Providence St Joseph Medical Center | Montana (statewide) | $65,365 | 4.7× | 1 | 2026-04-01 |
| Lac/Olive View-Ucla Medical Center | California (statewide) | $65,645 | 3.6× | 1 | 2026-03-12 |
| Lac/Harbor-Ucla Med Center | California (statewide) | $68,524 | 3.8× | 1 | 2026-03-12 |
| Providence Centralia Hospital | Washington (statewide) | $73,420 | 4.8× | 2 | 2026-04-01 |
| Trinity Health Oakland Hospital | Detroit MI | $78,639 | 5.8× | 24 | 2026-03-31 |
| Lawrence & Memorial Hospital | Connecticut (statewide) | $89,436 | 5.3× | 4 | 2026-09-19 |
| Trinity Health Ann Arbor Hospital | Michigan (statewide) | $91,213 | 6.7× | 17 | 2026-03-31 |
| Lac/Rancho Los Amigos National Rehabilitation Ctr | California (statewide) | $106,834 | 5.9× | 1 | 2026-03-12 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for mastectomy?
Across 1056 hospitals in 80 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 19303, hospital outpatient is $9,017, 1.3× the same hospital's local Medicare base rate. The middle half of hospitals runs $6,784 to $13,540. 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: Adventhealth Gordon ($3,108), Adventhealth Murray ($3,108), Southern Tennessee Regional Health System Pulaski ($3,196). Highest: Mount Carmel New Albany Surgical Hospital ($49,567), Mainehealth Lincoln Hospital ($39,005), Parkview Hospital ($36,385). Coverage: every hospital whose price file we could read.