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Mastectomy in New York: what insurers pay

Posted commercial rates at 56 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
Elmhurst Hospital Center Elmhurst$5,2170.6×62026-09-05
Kings County Hospital Center Brooklyn$5,2580.6×62026-09-05
South Brooklyn Health Brooklyn$5,2680.6×62026-09-05
Metropolitan Hospital Center New York$5,2730.6×62026-09-05
Jacobi Medical Center Bronx$5,2890.6×62026-09-05
Bellevue Hospital Center New York$5,2890.6×62026-09-05
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$5,2940.6×62026-09-05
Queens Hospital Center Jamaica$5,2980.6×62026-09-05
Stony Brook University Hospital Stony Brook$5,7830.7×52026-06-10
Harlem Hospital Center New York$6,5000.8×52026-09-05
Garnet Health Medical Center Catskills Harris$6,5920.8×72026-04-01
Glens Falls Hospital Glens Falls$6,7190.8×32025-12-31
Garnet Health Medical Center Middletown$7,5370.9×92026-04-01
Nassau University Medical Center East Meadow$7,7170.9×12025-10-28
Saratoga Hospital Saratoga Springs$7,7170.9×32025-12-31
Samaritan Hospital Troy$8,2041.0×242026-03-31
Oneida Health Oneida$8,2531.0×72026-09-27
Bronxcare Hospital Center Bronx$8,6461.0×22026-05-05
Maimonides Medical Center Brooklyn$9,0101.1×62026-04-01
Wynn Hospital Utica$9,0351.1×152026-08-07
Albany Medical Center Hospital Albany$9,1101.1×22025-12-31
Erie County Medical Center Buffalo$9,1781.1×62026-08-25
Montefiore Medical Center Bronx$9,4841.1×142026-04-01
Montefiore Mount Vernon Hospital Mount Vernon$9,7251.2×102026-04-01
Columbia Memorial Hospital Hudson$10,2111.2×22025-12-31
Strong Memorial Hospital Rochester$10,5821.3×42026-07-01
Samaritan Medical Center Watertown$11,8881.4×42026-02-02
Highland Hospital Rochester$11,9021.4×42026-07-01
St Joseph'S Medical Center Yonkers$13,3581.6×12026-07-13
Jones Memorial Hospital Wellsville$14,2451.7×72026-01-01
Geneva General Hospital Geneva$14,6241.8×32026-08-27
Crouse Hospital Syracuse$14,8861.8×32026-05-19
Nicholas H Noyes Memorial Hospital Dansville$16,9842.0×62026-01-01
Roswell Park Cancer Institute Buffalo$17,3602.1×22026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$17,7372.1×92026-01-01
St James Hospital Hornell$19,4692.4×52026-01-01
Medina Memorial Hospital Medina$21,5182.6×22026-07-29

CPT 19307

HospitalMedian across insurers× MedicareInsurersFile date
United Memorial Medical Center Batavia$4,9680.6×12026-04-01
Garnet Health Medical Center Middletown$6,3580.8×112026-04-01
Garnet Health Medical Center Catskills Harris$6,4340.8×72026-04-01
Kings County Hospital Center Brooklyn$6,4880.8×52026-09-05
South Brooklyn Health Brooklyn$6,4920.8×52026-09-05
Metropolitan Hospital Center New York$6,4950.8×52026-09-05
Jacobi Medical Center Bronx$6,5030.8×52026-09-05
Bellevue Hospital Center New York$6,5030.8×52026-09-05
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$6,5060.8×52026-09-05
Queens Hospital Center Jamaica$6,5080.8×52026-09-05
Nassau University Medical Center East Meadow$7,7170.9×12025-10-28
Montefiore Medical Center Bronx$8,0981.0×142026-04-01
Oneida Health Oneida$8,2531.0×72026-09-27
Maimonides Medical Center Brooklyn$8,3041.0×72026-04-01
Glens Falls Hospital Glens Falls$8,3341.0×32025-12-31
Bronxcare Hospital Center Bronx$8,6461.0×22026-05-05
Wynn Hospital Utica$9,0351.1×142026-08-07
Saratoga Hospital Saratoga Springs$9,5301.1×22025-12-31
Montefiore Mount Vernon Hospital Mount Vernon$9,7251.2×102026-04-01
Elmhurst Hospital Center Elmhurst$10,0751.2×32026-09-05
Harlem Hospital Center New York$10,0751.2×32026-09-05
Albany Medical Center Hospital Albany$11,3441.4×12025-12-31
Columbia Memorial Hospital Hudson$11,5761.4×12025-12-31
Highland Hospital Rochester$11,9021.4×42026-07-01
Erie County Medical Center Buffalo$12,8961.6×52026-08-25
Samaritan Medical Center Watertown$12,9081.6×42026-02-02
St Joseph'S Medical Center Yonkers$13,3581.6×12026-07-13
Strong Memorial Hospital Rochester$14,2221.7×42026-07-01
Jones Memorial Hospital Wellsville$14,2451.7×72026-01-01
Geneva General Hospital Geneva$14,6241.8×32026-08-27
Nicholas H Noyes Memorial Hospital Dansville$16,9842.0×62026-01-01
Roswell Park Cancer Institute Buffalo$17,3602.1×22026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$17,7372.1×92026-01-01
St James Hospital Hornell$19,4692.4×52026-01-01
Medina Memorial Hospital Medina$21,5182.6×22026-07-29

MS-DRG 583

HospitalMedian across insurers× MedicareInsurersFile date
Jones Memorial Hospital Wellsville$12,5110.8×12026-01-01
Ira Davenport Memorial Hospital Bath$13,0900.8×12026-03-27
Arnot Ogden Medical Center Elmira$14,0390.9×42026-03-27
St Joseph'S Hospital Health Center Syracuse$14,0390.9×22026-03-27
Montefiore Medical Center Bronx$14,6380.9×22026-04-01
St Charles Hospital Port Jefferson$15,0631.0×152026-04-01
Guthrie Cortland Regional Medical Center Cortland$15,2101.0×42026-03-31
Corning Hospital Corning$15,3691.0×52026-03-31
Geneva General Hospital Geneva$15,6871.0×32026-08-27
St James Hospital Hornell$15,8831.0×12026-01-01
Schuyler Hospital Montour Falls$16,5231.1×22026-03-27
Highland Hospital Rochester$16,5991.1×32026-07-01
Medina Memorial Hospital Medina$17,8621.1×22026-07-29
Niagara Falls Memorial Medical Center Niagara Falls$18,5921.2×42026-06-17
Bronxcare Hospital Center Bronx$19,5911.3×72026-05-05
Clifton Springs Hospital And Clinic Clifton Springs$19,7391.3×32026-04-01
Samaritan Medical Center Watertown$19,8051.3×42026-02-02
United Memorial Medical Center Batavia$19,8511.3×32026-04-01
St Joseph'S Medical Center Yonkers$20,4261.3×32026-07-13
Canton-Potsdam Hospital Potsdam$20,4291.3×32026-04-01
Nassau University Medical Center East Meadow$20,7791.3×62025-10-28
Unity Hospital Of Rochester Rochester$21,5551.4×32026-04-01
Unity Specialty Hospital Rochester$21,5551.4×32026-04-01
St John'S Riverside Hospital Yonkers$22,0141.4×62026-03-27
Rochester General Hospital Rochester$22,1091.4×32026-04-01
Newark-Wayne Community Hospital Newark$23,1071.5×32026-04-01
Nicholas H Noyes Memorial Hospital Dansville$24,2571.6×12026-01-01
Wynn Hospital Utica$26,3981.7×52026-08-07
Saratoga Hospital Saratoga Springs$26,5591.7×12025-12-31
Glens Falls Hospital Glens Falls$26,6741.7×22025-12-31
Flushing Hospital Medical Center Flushing$26,9081.7×82026-03-25
Jamaica Hospital Medical Center Jamaica$27,9651.8×82026-03-25
Columbia Memorial Hospital Hudson$29,0661.9×42025-12-31
Strong Memorial Hospital Rochester$29,3961.9×32026-07-01
South Brooklyn Health Brooklyn$32,2912.1×82026-09-05
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$32,3392.1×82026-09-05
Stony Brook University Hospital Stony Brook$33,0112.1×12026-06-10
Elmhurst Hospital Center Elmhurst$33,2152.1×82026-09-05
Jacobi Medical Center Bronx$33,8612.2×82026-09-05
Metropolitan Hospital Center New York$33,8612.2×82026-09-05
Queens Hospital Center Jamaica$33,8612.2×82026-09-05
Harlem Hospital Center New York$33,8612.2×82026-09-05
Kings County Hospital Center Brooklyn$34,2952.2×82026-09-05
Bellevue Hospital Center New York$34,2952.2×82026-09-05
Nathan Littauer Hospital Gloversville$35,2802.3×32026-03-04
Garnet Health Medical Center Catskills Harris$45,9743.0×82026-04-01
Albany Medical Center Hospital Albany$48,3233.1×32025-12-31
Maimonides Medical Center Brooklyn$50,2303.2×82026-04-01
Garnet Health Medical Center Middletown$51,9123.3×102026-04-01
Montefiore Mount Vernon Hospital Mount Vernon$52,6683.4×102026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$53,0943.4×92026-01-01

MS-DRG 582

HospitalMedian across insurers× MedicareInsurersFile date
Jones Memorial Hospital Wellsville$13,9770.8×12026-01-01
Ira Davenport Memorial Hospital Bath$14,6250.8×12026-03-27
Montefiore Medical Center Bronx$15,6060.9×22026-04-01
Arnot Ogden Medical Center Elmira$15,6860.9×42026-03-27
St Joseph'S Hospital Health Center Syracuse$15,6860.9×22026-03-27
Guthrie Cortland Regional Medical Center Cortland$16,3840.9×32026-03-31
Corning Hospital Corning$16,3840.9×52026-03-31
St Charles Hospital Port Jefferson$16,7551.0×152026-04-01
Geneva General Hospital Geneva$17,5261.0×32026-08-27
St James Hospital Hornell$17,7461.0×12026-01-01
Schuyler Hospital Montour Falls$18,4601.1×22026-03-27
Highland Hospital Rochester$18,9171.1×32026-07-01
Medina Memorial Hospital Medina$19,5761.1×22026-07-29
Niagara Falls Memorial Medical Center Niagara Falls$20,5161.2×42026-06-17
Bronxcare Hospital Center Bronx$21,4611.2×72026-05-05
Clifton Springs Hospital And Clinic Clifton Springs$22,0531.3×32026-04-01
Nassau University Medical Center East Meadow$22,1531.3×62025-10-28
United Memorial Medical Center Batavia$22,1791.3×32026-04-01
Samaritan Medical Center Watertown$22,2431.3×42026-02-02
St Joseph'S Medical Center Yonkers$22,8211.3×32026-07-13
Canton-Potsdam Hospital Potsdam$22,8241.3×32026-04-01
Unity Hospital Of Rochester Rochester$24,0821.4×32026-04-01
Unity Specialty Hospital Rochester$24,0821.4×32026-04-01
St John'S Riverside Hospital Yonkers$24,3051.4×62026-03-27
Rochester General Hospital Rochester$24,7021.4×32026-04-01
Newark-Wayne Community Hospital Newark$25,8161.5×32026-04-01
Nicholas H Noyes Memorial Hospital Dansville$27,1011.6×12026-01-01
Saratoga Hospital Saratoga Springs$28,3131.6×12025-12-31
Glens Falls Hospital Glens Falls$28,4361.6×22025-12-31
Flushing Hospital Medical Center Flushing$28,6851.6×82026-03-25
Wynn Hospital Utica$29,4291.7×52026-08-07
Jamaica Hospital Medical Center Jamaica$29,8121.7×82026-03-25
Columbia Memorial Hospital Hudson$30,9861.8×42025-12-31
Strong Memorial Hospital Rochester$32,8431.9×32026-07-01
Stony Brook University Hospital Stony Brook$33,0111.9×12026-06-10
South Brooklyn Health Brooklyn$36,0782.1×82026-09-05
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$36,1312.1×82026-09-05
Elmhurst Hospital Center Elmhurst$37,1092.1×82026-09-05
Jacobi Medical Center Bronx$37,8322.2×82026-09-05
Metropolitan Hospital Center New York$37,8322.2×82026-09-05
Queens Hospital Center Jamaica$37,8322.2×82026-09-05
Harlem Hospital Center New York$37,8322.2×82026-09-05
Kings County Hospital Center Brooklyn$38,3162.2×82026-09-05
Bellevue Hospital Center New York$38,3162.2×82026-09-05
Nathan Littauer Hospital Gloversville$39,4162.3×32026-03-04
Albany Medical Center Hospital Albany$51,5153.0×32025-12-31
Garnet Health Medical Center Catskills Harris$52,6013.0×82026-04-01
Maimonides Medical Center Brooklyn$56,1203.2×82026-04-01
Montefiore Mount Vernon Hospital Mount Vernon$56,1513.2×102026-04-01
Garnet Health Medical Center Middletown$58,0003.3×102026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$59,3203.4×92026-01-01

Questions

How much do insurers pay for mastectomy in New York?

56 New York hospitals post usable commercial rates for mastectomy in their federal price-transparency files. For CPT 19303, hospital outpatient, the median across 37 hospitals is $9,010, 1.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.