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Mastectomy in New York: what insurers pay

Posted commercial rates at 3 New York 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
Stony Brook University Hospital Stony Brook$5,7830.7×52026-06-10
Montefiore Medical Center Bronx$6,8240.8×82026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$18,9622.3×72026-01-01

CPT 19307

HospitalMedian across insurers× MedicareInsurersFile date
Montefiore Medical Center Bronx$7,4870.9×82026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$18,9622.3×72026-01-01

MS-DRG 583

HospitalMedian across insurers× MedicareInsurersFile date
Montefiore Medical Center Bronx$16,1481.0×12026-04-01
Stony Brook University Hospital Stony Brook$33,0112.1×12026-06-10
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$55,3413.5×72026-01-01

MS-DRG 582

HospitalMedian across insurers× MedicareInsurersFile date
Montefiore Medical Center Bronx$17,2161.0×12026-04-01
Stony Brook University Hospital Stony Brook$33,0111.9×12026-06-10
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$61,8303.5×72026-01-01

Questions

How much do insurers pay for mastectomy in New York?

3 New York hospitals post usable commercial rates for mastectomy in their federal price-transparency files. For CPT 19303, hospital outpatient, the median across 3 hospitals is $6,824, 0.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.