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Mastectomy in New Jersey: what insurers pay

Posted commercial rates at 23 New Jersey hospitals, each next to its own Medicare base rate.

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CPT 19303

HospitalMedian across insurers× MedicareInsurersFile date
Chilton Medical Center Pompton Plains$7,5671.0×122026-04-01
Palisades Medical Center North Bergen$7,6801.0×12025-12-31
Englewood Hospital Englewood$7,9181.0×52026-02-02
St Luke'S Warren Hospital Phillipsburg$8,1951.1×32026-02-27
Jefferson Stratford Hospital Stratford$9,0221.2×32026-09-15
Shore Medical Center Somers Point$9,4891.3×42026-08-30
St Mary'S General Hospital Passaic$11,5361.5×72026-09-01
Inspira Medical Center Vineland Vineland$13,3201.8×12026-03-24
Inspira Medical Center Mullica Hill Mullica Hill$13,3201.8×12026-03-24
St Joseph'S University Medical Center Inc Paterson$13,5691.7×32026-04-24
Valley Hospital Paramus$13,6301.7×42026-05-06
University Hospital Newark$14,0641.9×22026-08-13
Hackettstown Medical Center Hackettstown$19,0112.5×102026-04-01
Morristown Medical Center Morristown$20,1882.7×12026-04-01
Newton Medical Center Newton$20,1882.7×112026-04-01
Overlook Medical Center Summit$20,1882.7×112026-04-01
Centrastate Medical Center Freehold$20,1882.7×112026-01-01

CPT 19307

HospitalMedian across insurers× MedicareInsurersFile date
Morristown Medical Center Morristown$7,5671.0×12026-04-01
Chilton Medical Center Pompton Plains$7,5671.0×112026-04-01
Newton Medical Center Newton$7,5671.0×112026-04-01
Overlook Medical Center Summit$7,5671.0×112026-04-01
Centrastate Medical Center Freehold$7,5671.0×132026-01-01
Hackettstown Medical Center Hackettstown$7,5671.0×102026-04-01
Palisades Medical Center North Bergen$7,6801.0×12025-12-31
Jefferson Stratford Hospital Stratford$10,4001.4×32026-09-15
Shore Medical Center Somers Point$12,2271.6×42026-08-30
Englewood Hospital Englewood$12,6721.6×32026-02-02
Inspira Medical Center Vineland Vineland$12,8741.7×12026-03-24
Inspira Medical Center Mullica Hill Mullica Hill$12,8741.7×12026-03-24
St Luke'S Warren Hospital Phillipsburg$13,2291.8×32026-02-27
St Joseph'S University Medical Center Inc Paterson$13,5691.7×32026-04-24
Valley Hospital Paramus$16,4142.1×42026-05-06

MS-DRG 583

HospitalMedian across insurers× MedicareInsurersFile date
Valley Hospital Paramus$17,2521.2×22026-05-06
Shore Medical Center Somers Point$18,1061.3×32026-08-30
St Luke'S Warren Hospital Phillipsburg$18,9681.4×52026-02-27
Capital Health Medical Center - Hopewell Pennington$26,1621.9×12026-06-24
Capital Health Regional Medical Center Trenton$26,1621.9×12026-06-24
Deborah Heart And Lung Center Browns Mills$27,0261.9×32026-02-26
St Mary'S General Hospital Passaic$27,7581.9×62026-09-01
Englewood Hospital Englewood$28,2521.9×102026-02-02
Jefferson Stratford Hospital Stratford$29,1702.1×82026-09-15
Virtua Willingboro Hospital Willingboro$30,3932.2×92026-04-01
University Hospital Newark$30,6542.2×42026-08-13
Virtua Mount Holly Hospital Mount Holly$30,7552.2×92026-04-01
Virtua Our Lady Of Lourdes Hospital Camden$31,6792.3×92026-04-01
Chilton Medical Center Pompton Plains$32,8472.4×212026-04-01
Newton Medical Center Newton$34,1612.5×222026-04-01
Hackettstown Medical Center Hackettstown$34,7842.5×212026-04-01
Overlook Medical Center Summit$35,7832.6×212026-04-01
Morristown Medical Center Morristown$37,2742.7×52026-04-01
Palisades Medical Center North Bergen$37,4922.5×82025-12-31
Centrastate Medical Center Freehold$39,3042.8×142026-01-01
St Joseph'S University Medical Center Inc Paterson$42,7622.9×52026-04-24
Inspira Medical Center Vineland Vineland$47,2873.4×62026-03-24
Inspira Medical Center Mullica Hill Mullica Hill$47,2873.4×62026-03-24

MS-DRG 582

HospitalMedian across insurers× MedicareInsurersFile date
Valley Hospital Paramus$18,6631.1×22026-05-06
Shore Medical Center Somers Point$20,2291.3×32026-08-30
St Luke'S Warren Hospital Phillipsburg$21,1931.4×52026-02-27
Capital Health Medical Center - Hopewell Pennington$27,8871.8×12026-06-24
Capital Health Regional Medical Center Trenton$27,8871.8×12026-06-24
Deborah Heart And Lung Center Browns Mills$29,1721.9×32026-02-26
St Mary'S General Hospital Passaic$30,8941.9×62026-09-01
Englewood Hospital Englewood$31,2081.9×102026-02-02
Jefferson Stratford Hospital Stratford$33,6522.2×82026-09-15
Virtua Willingboro Hospital Willingboro$33,8552.2×92026-04-01
University Hospital Newark$34,2492.2×42026-08-13
Virtua Mount Holly Hospital Mount Holly$34,3042.2×92026-04-01
Virtua Our Lady Of Lourdes Hospital Camden$35,3062.3×92026-04-01
Chilton Medical Center Pompton Plains$41,2322.6×212026-04-01
Palisades Medical Center North Bergen$41,3322.5×82025-12-31
Newton Medical Center Newton$42,0922.7×222026-04-01
Hackettstown Medical Center Hackettstown$42,9512.8×212026-04-01
Overlook Medical Center Summit$43,9132.8×212026-04-01
Centrastate Medical Center Freehold$43,9132.8×142026-01-01
St Joseph'S University Medical Center Inc Paterson$47,3282.9×52026-04-24
Morristown Medical Center Morristown$47,7353.1×52026-04-01
Inspira Medical Center Vineland Vineland$52,4013.4×62026-03-24
Inspira Medical Center Mullica Hill Mullica Hill$52,4013.4×62026-03-24

Questions

How much do insurers pay for mastectomy in New Jersey?

23 New Jersey hospitals post usable commercial rates for mastectomy in their federal price-transparency files. For CPT 19303, hospital outpatient, the median across 17 hospitals is $13,320, 1.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.