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Mastectomy in North Carolina: what insurers pay

Posted commercial rates at 43 North Carolina 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
Frye Regional Medical Center Hickory$5,9220.9×22026-07-08
Novant Health New Hanover Regional Medical Center Wilmington$6,7831.0×32026-03-30
Rutherford Regional Medical Center Rutherfordton$7,5861.2×12026-07-10
Atrium Health Lincoln Lincolnton$7,6481.2×12025-12-01
Atrium Health Cabarrus Concord$7,7531.2×12025-12-01
Atrium Health Pineville Charlotte$7,7531.2×12025-12-05
Atrium Health Union Monroe$7,7531.2×12025-12-04
Atrium Health University City Charlotte$7,7531.2×12025-12-05
Harris Regional Hospital Sylva$12,2781.9×12026-07-10
Caromont Regional Medical Center Gastonia$14,7382.3×42026-05-11

CPT 19307

HospitalMedian across insurers× MedicareInsurersFile date
Frye Regional Medical Center Hickory$6,1851.0×12026-07-08
Novant Health New Hanover Regional Medical Center Wilmington$6,7831.0×32026-03-30
Atrium Health Lincoln Lincolnton$7,6481.2×12025-12-01
Atrium Health Cabarrus Concord$7,7531.2×12025-12-01
Atrium Health Pineville Charlotte$7,7531.2×12025-12-05
Atrium Health Union Monroe$7,7531.2×12025-12-04
Atrium Health University City Charlotte$7,7531.2×12025-12-05
Central Carolina Hospital Sanford$10,7611.7×12026-07-20
Rutherford Regional Medical Center Rutherfordton$12,1661.9×12026-07-10
Caromont Regional Medical Center Gastonia$16,6992.6×42026-05-11

MS-DRG 583

HospitalMedian across insurers× MedicareInsurersFile date
Rutherford Regional Medical Center Rutherfordton$13,7741.2×32026-07-10
Maria Parham Medical Center Henderson$14,7061.3×32026-07-30
Swain County Hospital Bryson City$18,3371.6×42026-07-30
North Carolina Specialty Hospital Durham$18,4891.5×12026-02-25
Lake Norman Regional Medical Center Mooresville$19,3441.6×52026-04-01
Ecu Health North Hospital Roanoke Rapids$21,0331.8×12026-04-01
UNC Hospitals (Chapel Hill) Chapel Hill$21,8481.8×72026-04-01
Atrium Health Stanly Albemarle$22,1481.9×12026-09-15
Atrium Health University City Charlotte$23,9742.0×22025-12-05
Angel Medical Center Franklin$24,1302.1×22026-09-01
Blue Ridge Regional Hospital Spruce Pine$24,3192.1×22026-09-01
Atrium Health Union Monroe$25,3562.1×22025-12-04
Ecu Health Bertie Hospital Windsor$25,6562.2×22026-04-01
Duke University Hospital Durham$25,7912.1×32026-04-01
Duke Raleigh Hospital Raleigh$25,7912.1×32026-04-01
Atrium Health Cleveland Shelby$26,0362.2×22025-12-01
Novant Health New Hanover Regional Medical Center Wilmington$26,0822.1×52026-03-30
Transylvania Regional Hospital, Inc Brevard$26,1552.2×22026-09-01
Adventhealth Hendersonville Hendersonville$26,2612.2×22026-04-01
WakeMed Raleigh Campus Raleigh$26,5942.1×22026-02-11
WakeMed Cary Hospital Cary$26,5942.1×22026-02-11
Atrium Health Cabarrus Concord$26,9272.3×22025-12-01
Atrium Health Pineville Charlotte$27,2462.3×22025-12-05
Highlands Cashiers Hospital Highlands$27,2472.3×22026-09-01
Ecu Health Medical Center Greenville$28,0772.4×32026-04-01
The Outer Banks Hospital, Inc Nags Head$28,4602.4×22026-04-01
Novant Health Brunswick Medical Center Supply$28,5102.3×12026-03-30
Novant Health Presbyterian Medical Center Charlotte$33,7102.8×32026-03-31
Novant Health Matthews Medical Center Matthews$33,7102.8×32026-03-30
Novant Health Huntersville Medical Center Huntersville$33,7102.8×32026-03-30
Novant Health Mint Hill Medical Center Charlotte$33,7102.8×32026-03-30
Novant Health Ballantyne Medical Center Charlotte$33,7102.8×32026-03-30
Caromont Regional Medical Center Gastonia$34,3682.9×82026-05-11
Novant Health Thomasville Medical Center Thomasville$34,5202.9×22026-03-31
Novant Health Forsyth Medical Center Winston-Salem$40,1203.4×32026-03-30
Novant Health Medical Park Hospital Winston-Salem$40,1203.4×32026-03-30
Cape Fear Valley Medical Center Fayetteville$41,0893.4×12026-03-21
Cape Fear Valley Hoke Hospital Raeford$42,7953.5×12026-03-30

MS-DRG 582

HospitalMedian across insurers× MedicareInsurersFile date
North Carolina Specialty Hospital Durham$14,2141.0×22026-02-25
Rutherford Regional Medical Center Rutherfordton$14,6841.1×32026-07-10
Maria Parham Medical Center Henderson$16,4301.3×32026-07-30
Ecu Health North Hospital Roanoke Rapids$21,0331.6×12026-04-01
Lake Norman Regional Medical Center Mooresville$21,6131.6×52026-04-01
Swain County Hospital Bryson City$22,2831.7×32026-07-30
UNC Rex Hospital Raleigh$22,5541.6×52026-04-01
UNC Hospitals (Chapel Hill) Chapel Hill$23,2911.7×72026-04-01
Angel Medical Center Franklin$24,1301.9×22026-09-01
Blue Ridge Regional Hospital Spruce Pine$24,3191.9×22026-09-01
Atrium Health Stanly Albemarle$24,7451.9×12026-09-15
Atrium Health University City Charlotte$25,5581.9×22025-12-05
Ecu Health Bertie Hospital Windsor$25,6562.0×22026-04-01
Transylvania Regional Hospital, Inc Brevard$26,1552.0×22026-09-01
Duke University Hospital Durham$26,3291.9×32026-04-01
Duke Raleigh Hospital Raleigh$26,3291.9×32026-04-01
Atrium Health Union Monroe$27,0322.0×22025-12-04
Highlands Cashiers Hospital Highlands$27,2472.1×22026-09-01
Atrium Health Cleveland Shelby$27,7562.1×22025-12-01
The Outer Banks Hospital, Inc Nags Head$28,4602.2×22026-04-01
Atrium Health Cabarrus Concord$28,7062.2×22025-12-01
Atrium Health Pineville Charlotte$29,0462.2×22025-12-05
Novant Health New Hanover Regional Medical Center Wilmington$29,1402.1×52026-03-30
Adventhealth Hendersonville Hendersonville$29,3402.2×22026-04-01
WakeMed Raleigh Campus Raleigh$29,7132.1×22026-02-11
WakeMed Cary Hospital Cary$29,7132.1×22026-02-11
Ecu Health Medical Center Greenville$30,0802.3×32026-04-01
Novant Health Brunswick Medical Center Supply$31,8522.3×12026-03-30
Novant Health Presbyterian Medical Center Charlotte$37,6632.8×32026-03-31
Novant Health Matthews Medical Center Matthews$37,6632.8×32026-03-30
Novant Health Huntersville Medical Center Huntersville$37,6632.8×32026-03-30
Novant Health Mint Hill Medical Center Charlotte$37,6632.8×32026-03-30
Novant Health Ballantyne Medical Center Charlotte$37,6632.8×32026-03-30
Caromont Regional Medical Center Gastonia$38,3972.9×82026-05-11
Novant Health Thomasville Medical Center Thomasville$38,5672.9×22026-03-31
Novant Health Forsyth Medical Center Winston-Salem$44,8243.4×32026-03-30
Novant Health Medical Park Hospital Winston-Salem$44,8243.4×32026-03-30
Cape Fear Valley Medical Center Fayetteville$45,4053.3×12026-03-21
Cape Fear Valley Hoke Hospital Raeford$46,5443.4×12026-03-30

Questions

How much do insurers pay for mastectomy in North Carolina?

43 North Carolina hospitals post usable commercial rates for mastectomy in their federal price-transparency files. For CPT 19303, hospital outpatient, the median across 10 hospitals is $7,753, 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.