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Mastectomy in Michigan: what insurers pay

Posted commercial rates at 7 Michigan hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 19303

HospitalMedian across insurers× MedicareInsurersFile date
Harper University Hospital Detroit$7,1661.1×12026-09-02
Trinity Health Oakland Hospital Pontiac$8,0111.2×162026-03-31
Henry Ford Health Rochester Hospital Rochester$9,4311.4×12026-01-01

CPT 19307

HospitalMedian across insurers× MedicareInsurersFile date
Harper University Hospital Detroit$8,1651.2×12026-09-02
Henry Ford Health Rochester Hospital Rochester$8,6551.3×12026-01-01

MS-DRG 583

HospitalMedian across insurers× MedicareInsurersFile date
Corewell Health Beaumont Grosse Pointe Hospital Grosse Pointe$24,1552.0×32026-05-01
Corewell Health William Beaumont University Hospit Royal Oak$24,1552.0×32026-05-01
Corewell Health Beaumont Troy Hospital Troy$24,1552.0×32026-05-01
Corewell Health Dearborn Hospital Dearborn$45,6723.7×22026-05-01
Harper University Hospital Detroit$57,3524.7×22026-09-02
Henry Ford Health Rochester Hospital Rochester$74,9906.1×12026-01-01

MS-DRG 582

HospitalMedian across insurers× MedicareInsurersFile date
Corewell Health Beaumont Grosse Pointe Hospital Grosse Pointe$26,9882.0×32026-05-01
Corewell Health William Beaumont University Hospit Royal Oak$26,9882.0×32026-05-01
Corewell Health Beaumont Troy Hospital Troy$26,9882.0×32026-05-01
Corewell Health Dearborn Hospital Dearborn$50,6463.7×22026-05-01
Harper University Hospital Detroit$63,5934.7×22026-09-02
Trinity Health Oakland Hospital Pontiac$78,6395.8×172026-03-31
Henry Ford Health Rochester Hospital Rochester$82,9326.1×12026-01-01

Questions

How much do insurers pay for mastectomy in Michigan?

7 Michigan hospitals post usable commercial rates for mastectomy in their federal price-transparency files. For CPT 19303, hospital outpatient, the median across 3 hospitals is $8,011, 1.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.