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Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.
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CPT 19303
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Elmhurst Hospital Center median $5,217 · local Medicare $8,289 · file 2026-09-05 | |||
| Elevance/Anthem/Empire | $5,217 | 0.6× | 7 |
| EmblemHealth | $5,014 | 0.6× | 1 |
| Magnacare (rental network) | $9,261 | 1.1× | 4 |
| Oscar | $12,433 | 1.5× | 1 |
| UnitedHealthcare | $4,893 | 0.6× | 1 |
| Vaccn | $7,717 | 0.9× | 1 |
| South Brooklyn Health median $5,268 · local Medicare $8,289 · file 2026-09-05 | |||
| Elevance/Anthem/Empire | $5,268 | 0.6× | 7 |
| EmblemHealth | $5,014 | 0.6× | 1 |
| Magnacare (rental network) | $9,261 | 1.1× | 4 |
| Oscar | $12,433 | 1.5× | 1 |
| UnitedHealthcare | $4,893 | 0.6× | 1 |
| Vaccn | $7,717 | 0.9× | 1 |
| Jacobi Medical Center median $5,289 · local Medicare $8,289 · file 2026-09-05 | |||
| Elevance/Anthem/Empire | $5,289 | 0.6× | 7 |
| EmblemHealth | $5,014 | 0.6× | 1 |
| Magnacare (rental network) | $9,261 | 1.1× | 4 |
| Oscar | $12,433 | 1.5× | 1 |
| UnitedHealthcare | $4,893 | 0.6× | 1 |
| Vaccn | $7,717 | 0.9× | 1 |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER median $5,294 · local Medicare $8,289 · file 2026-09-05 | |||
| Elevance/Anthem/Empire | $5,294 | 0.6× | 7 |
| EmblemHealth | $5,014 | 0.6× | 1 |
| Magnacare (rental network) | $9,261 | 1.1× | 4 |
| Oscar | $12,433 | 1.5× | 1 |
| UnitedHealthcare | $4,893 | 0.6× | 1 |
| Vaccn | $7,717 | 0.9× | 1 |
| Maimonides Medical Center median $9,010 · local Medicare $8,289 · file 2026-04-01 | |||
| Aetna | $6,634 | 0.8× | 3 |
| Centivo | $9,010 | 1.1× | 1 |
| Elevance/Anthem/Empire | $11,220 | 1.4× | 2 |
| EmblemHealth | $25,198 | 3.0× | 1 |
| Magnacare (rental network) | $7,738 | 0.9× | 1 |
| UnitedHealthcare | $6,254 | 0.8× | 7 |
| Montefiore Medical Center median $9,484 · local Medicare $8,289 · file 2026-04-01 | |||
| 1199SEIU | $6,104 | 0.7× | 1 |
| Aetna | $5,741 | 0.7× | 4 |
| Christian Brothers | $25,839 | 3.1× | 1 |
| Cigna | $4,276 | 0.5× | 4 |
| Elevance/Anthem/Empire | $10,680 | 1.3× | 11 |
| EmblemHealth | $11,193 | 1.4× | 8 |
| Healthfirst | $7,045 | 0.8× | 1 |
| Mvp | $4,276 | 0.5× | 1 |
| Nat Assoc Letter Carriers | $25,839 | 3.1× | 1 |
| Nippon Life Insurance | $25,839 | 3.1× | 1 |
| Northwell | $25,612 | 3.1× | 1 |
| Oscar | $6,602 | 0.8× | 1 |
| Point Comfort | $8,289 | 1.0× | 1 |
| UnitedHealthcare | $15,108 | 1.8× | 5 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $17,737 · local Medicare $8,289 · file 2026-01-01 | |||
| 1199SEIU | $8,539 | 1.0× | 3 |
| Aetna | $16,512 | 2.0× | 24 |
| BCBS (other) | $20,217 | 2.4× | 16 |
| Centerlight | $7,871 | 0.9× | 2 |
| Cigna | $18,962 | 2.3× | 22 |
| Elevance/Anthem/Empire | $20,217 | 2.4× | 32 |
| EmblemHealth | $13,194 | 1.6× | 69 |
| Magnacare (rental network) | $27,119 | 3.3× | 10 |
| UnitedHealthcare | $19,583 | 2.4× | 24 |
CPT 19307
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| South Brooklyn Health median $6,492 · local Medicare $8,289 · file 2026-09-05 | |||
| Elevance/Anthem/Empire | $5,268 | 0.6× | 7 |
| Magnacare (rental network) | $9,261 | 1.1× | 4 |
| Oscar | $12,433 | 1.5× | 1 |
| UnitedHealthcare | $5,020 | 0.6× | 2 |
| Vaccn | $7,717 | 0.9× | 1 |
| Jacobi Medical Center median $6,503 · local Medicare $8,289 · file 2026-09-05 | |||
| Elevance/Anthem/Empire | $5,289 | 0.6× | 7 |
| Magnacare (rental network) | $9,261 | 1.1× | 4 |
| Oscar | $12,433 | 1.5× | 1 |
| UnitedHealthcare | $5,020 | 0.6× | 2 |
| Vaccn | $7,717 | 0.9× | 1 |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER median $6,506 · local Medicare $8,289 · file 2026-09-05 | |||
| Elevance/Anthem/Empire | $5,294 | 0.6× | 7 |
| Magnacare (rental network) | $9,261 | 1.1× | 4 |
| Oscar | $12,433 | 1.5× | 1 |
| UnitedHealthcare | $5,020 | 0.6× | 2 |
| Vaccn | $7,717 | 0.9× | 1 |
| Montefiore Medical Center median $8,098 · local Medicare $8,289 · file 2026-04-01 | |||
| 1199SEIU | $7,908 | 1.0× | 1 |
| Aetna | $7,066 | 0.9× | 4 |
| Christian Brothers | $25,839 | 3.1× | 1 |
| Cigna | $5,296 | 0.6× | 5 |
| Elevance/Anthem/Empire | $10,680 | 1.3× | 14 |
| EmblemHealth | $13,753 | 1.7× | 8 |
| Healthfirst | $7,045 | 0.8× | 1 |
| Mvp | $4,876 | 0.6× | 2 |
| Nat Assoc Letter Carriers | $25,839 | 3.1× | 1 |
| Nippon Life Insurance | $25,839 | 3.1× | 1 |
| Northwell | $4,515 | 0.5× | 2 |
| Oscar | $6,602 | 0.8× | 1 |
| Point Comfort | $8,289 | 1.0× | 1 |
| UnitedHealthcare | $18,886 | 2.3× | 5 |
| Maimonides Medical Center median $8,304 · local Medicare $8,289 · file 2026-04-01 | |||
| 1199SEIU | $5,102 | 0.6× | 1 |
| Aetna | $7,597 | 0.9× | 3 |
| Centivo | $9,010 | 1.1× | 1 |
| Elevance/Anthem/Empire | $11,220 | 1.4× | 2 |
| EmblemHealth | $25,198 | 3.0× | 1 |
| Magnacare (rental network) | $8,056 | 1.0× | 1 |
| UnitedHealthcare | $7,007 | 0.8× | 7 |
| Elmhurst Hospital Center median $10,075 · local Medicare $8,289 · file 2026-09-05 | |||
| Magnacare (rental network) | $9,261 | 1.1× | 4 |
| Oscar | $12,433 | 1.5× | 1 |
| Vaccn | $7,717 | 0.9× | 1 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $17,737 · local Medicare $8,289 · file 2026-01-01 | |||
| 1199SEIU | $13,188 | 1.6× | 3 |
| Aetna | $16,512 | 2.0× | 24 |
| BCBS (other) | $20,217 | 2.4× | 16 |
| Centerlight | $7,871 | 0.9× | 2 |
| Cigna | $18,962 | 2.3× | 22 |
| Elevance/Anthem/Empire | $20,217 | 2.4× | 35 |
| EmblemHealth | $13,194 | 1.6× | 71 |
| Magnacare (rental network) | $27,119 | 3.3× | 10 |
| UnitedHealthcare | $19,583 | 2.4× | 24 |
MS-DRG 583
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Montefiore Medical Center median $14,638 · local Medicare $15,607 · file 2026-04-01 | |||
| EmblemHealth | $16,148 | 1.0× | 1 |
| Point Comfort | $13,128 | 0.8× | 1 |
| Jamaica Hospital Medical Center median $27,965 · local Medicare $15,607 · file 2026-03-25 | |||
| 1999 National Benefit Fund | $26,830 | 1.7× | 1 |
| Aetna | $29,100 | 1.9× | 4 |
| Centerlight Healthcare | $25,270 | 1.6× | 1 |
| Centivo | $30,748 | 2.0× | 1 |
| Cigna | $29,206 | 1.9× | 1 |
| Create Health Plan | $38,945 | 2.5× | 1 |
| Elderplan | $25,270 | 1.6× | 1 |
| EmblemHealth | $26,768 | 1.7× | 3 |
| South Brooklyn Health median $32,291 · local Medicare $15,607 · file 2026-09-05 | |||
| 1199SEIU | $22,729 | 1.5× | 1 |
| Aetna | $32,291 | 2.1× | 1 |
| Cigna | $33,861 | 2.2× | 1 |
| EmblemHealth | $34,295 | 2.2× | 1 |
| MultiPlan/PHCS (rental network) | $36,254 | 2.3× | 1 |
| Oscar | $32,339 | 2.1× | 1 |
| UnitedHealthcare | $31,913 | 2.0× | 3 |
| Vaccn | $28,823 | 1.8× | 1 |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER median $32,339 · local Medicare $15,607 · file 2026-09-05 | |||
| 1199SEIU | $22,729 | 1.5× | 1 |
| Aetna | $32,291 | 2.1× | 1 |
| Cigna | $33,861 | 2.2× | 1 |
| EmblemHealth | $34,295 | 2.2× | 1 |
| MultiPlan/PHCS (rental network) | $33,626 | 2.2× | 1 |
| Oscar | $32,339 | 2.1× | 1 |
| UnitedHealthcare | $27,192 | 1.7× | 3 |
| Vaccn | $50,697 | 3.2× | 1 |
| Elmhurst Hospital Center median $33,215 · local Medicare $15,607 · file 2026-09-05 | |||
| 1199SEIU | $22,729 | 1.5× | 1 |
| Aetna | $32,291 | 2.1× | 1 |
| Cigna | $33,861 | 2.2× | 1 |
| EmblemHealth | $34,295 | 2.2× | 1 |
| MultiPlan/PHCS (rental network) | $46,133 | 3.0× | 1 |
| Oscar | $32,339 | 2.1× | 1 |
| UnitedHealthcare | $33,215 | 2.1× | 4 |
| Vaccn | $48,023 | 3.1× | 1 |
| Jacobi Medical Center median $33,861 · local Medicare $15,607 · file 2026-09-05 | |||
| 1199SEIU | $22,729 | 1.5× | 1 |
| Aetna | $40,537 | 2.6× | 1 |
| Cigna | $33,861 | 2.2× | 1 |
| EmblemHealth | $34,295 | 2.2× | 1 |
| MultiPlan/PHCS (rental network) | $46,566 | 3.0× | 1 |
| Oscar | $32,339 | 2.1× | 1 |
| UnitedHealthcare | $47,992 | 3.1× | 3 |
| Vaccn | $33,037 | 2.1× | 1 |
| Maimonides Medical Center median $50,230 · local Medicare $15,607 · file 2026-04-01 | |||
| 1199SEIU | $29,637 | 1.9× | 1 |
| Aetna | $50,280 | 3.2× | 3 |
| Centivo | $53,008 | 3.4× | 1 |
| Cigna | $49,666 | 3.2× | 3 |
| Elevance/Anthem/Empire | $53,141 | 3.4× | 2 |
| EmblemHealth | $49,506 | 3.2× | 3 |
| Magnacare (rental network) | $59,406 | 3.8× | 1 |
| UnitedHealthcare | $50,230 | 3.2× | 7 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $53,094 · local Medicare $15,607 · file 2026-01-01 | |||
| 1199SEIU | $55,341 | 3.5× | 3 |
| Aetna | $44,979 | 2.9× | 24 |
| BCBS (other) | $71,182 | 4.6× | 16 |
| Centerlight | $17,846 | 1.1× | 2 |
| Cigna | $50,021 | 3.2× | 22 |
| Elevance/Anthem/Empire | $71,182 | 4.6× | 32 |
| EmblemHealth | $50,847 | 3.3× | 40 |
| Magnacare (rental network) | $75,003 | 4.8× | 9 |
| UnitedHealthcare | $65,872 | 4.2× | 24 |
MS-DRG 582
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Montefiore Medical Center median $15,606 · local Medicare $17,437 · file 2026-04-01 | |||
| EmblemHealth | $17,216 | 1.0× | 1 |
| Point Comfort | $13,996 | 0.8× | 1 |
| Jamaica Hospital Medical Center median $29,812 · local Medicare $17,437 · file 2026-03-25 | |||
| 1999 National Benefit Fund | $28,602 | 1.6× | 1 |
| Aetna | $31,022 | 1.8× | 4 |
| Centerlight Healthcare | $27,869 | 1.6× | 1 |
| Centivo | $32,778 | 1.9× | 1 |
| Cigna | $31,135 | 1.8× | 1 |
| Create Health Plan | $41,517 | 2.4× | 1 |
| Elderplan | $27,869 | 1.6× | 1 |
| EmblemHealth | $28,536 | 1.6× | 3 |
| South Brooklyn Health median $36,078 · local Medicare $17,437 · file 2026-09-05 | |||
| 1199SEIU | $25,395 | 1.5× | 1 |
| Aetna | $36,078 | 2.1× | 1 |
| Cigna | $37,832 | 2.2× | 1 |
| EmblemHealth | $38,316 | 2.2× | 1 |
| MultiPlan/PHCS (rental network) | $40,505 | 2.3× | 1 |
| Oscar | $36,131 | 2.1× | 1 |
| UnitedHealthcare | $35,656 | 2.0× | 3 |
| Vaccn | $31,469 | 1.8× | 1 |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER median $36,131 · local Medicare $17,437 · file 2026-09-05 | |||
| 1199SEIU | $25,395 | 1.5× | 1 |
| Aetna | $36,078 | 2.1× | 1 |
| Cigna | $37,832 | 2.2× | 1 |
| EmblemHealth | $38,316 | 2.2× | 1 |
| MultiPlan/PHCS (rental network) | $37,569 | 2.2× | 1 |
| Oscar | $36,131 | 2.1× | 1 |
| UnitedHealthcare | $30,381 | 1.7× | 3 |
| Vaccn | $53,651 | 3.1× | 1 |
| Elmhurst Hospital Center median $37,109 · local Medicare $17,437 · file 2026-09-05 | |||
| 1199SEIU | $25,395 | 1.5× | 1 |
| Aetna | $36,078 | 2.1× | 1 |
| Cigna | $37,832 | 2.2× | 1 |
| EmblemHealth | $38,316 | 2.2× | 1 |
| MultiPlan/PHCS (rental network) | $51,542 | 3.0× | 1 |
| Oscar | $36,131 | 2.1× | 1 |
| UnitedHealthcare | $37,109 | 2.1× | 4 |
| Vaccn | $50,661 | 2.9× | 1 |
| Jacobi Medical Center median $37,832 · local Medicare $17,437 · file 2026-09-05 | |||
| 1199SEIU | $25,395 | 1.5× | 1 |
| Aetna | $45,291 | 2.6× | 1 |
| Cigna | $37,832 | 2.2× | 1 |
| EmblemHealth | $38,316 | 2.2× | 1 |
| MultiPlan/PHCS (rental network) | $52,026 | 3.0× | 1 |
| Oscar | $36,131 | 2.1× | 1 |
| UnitedHealthcare | $53,619 | 3.1× | 3 |
| Vaccn | $35,679 | 2.0× | 1 |
| Maimonides Medical Center median $56,120 · local Medicare $17,437 · file 2026-04-01 | |||
| 1199SEIU | $33,112 | 1.9× | 1 |
| Aetna | $56,176 | 3.2× | 3 |
| Centivo | $59,224 | 3.4× | 1 |
| Cigna | $55,490 | 3.2× | 3 |
| Elevance/Anthem/Empire | $59,372 | 3.4× | 2 |
| EmblemHealth | $55,311 | 3.2× | 3 |
| Magnacare (rental network) | $66,371 | 3.8× | 1 |
| UnitedHealthcare | $56,120 | 3.2× | 7 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $59,320 · local Medicare $17,437 · file 2026-01-01 | |||
| 1199SEIU | $61,830 | 3.5× | 3 |
| Aetna | $50,253 | 2.9× | 24 |
| BCBS (other) | $79,528 | 4.6× | 16 |
| Centerlight | $19,873 | 1.1× | 2 |
| Cigna | $55,887 | 3.2× | 22 |
| Elevance/Anthem/Empire | $79,528 | 4.6× | 32 |
| EmblemHealth | $56,810 | 3.3× | 40 |
| Magnacare (rental network) | $83,797 | 4.8× | 9 |
| UnitedHealthcare | $73,596 | 4.2× | 24 |
Questions
How much does mastectomy cost with commercial insurance in New York City?
7 New York City hospitals post usable commercial rates for CPT 19303, hospital outpatient. The median across hospitals is $5,294; hospital medians range from $5,217 to $17,737. Your cost depends on your plan's deductible and coinsurance.