Techy SurgeonPrice AtlasInteractive atlas · All states · techysurgeon.com

Mastectomy in Pennsylvania: what insurers pay

Posted commercial rates at 5 Pennsylvania 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
Riddle Memorial Hospital Media$5,5670.8×22026-04-01
Bryn Mawr Hospital Bryn Mawr$5,8400.9×22026-04-01
Upmc Presbyterian Shadyside Pittsburgh$6,6461.0×12026-03-06
Thomas Jefferson University Hospital Philadelphia$9,6301.4×32026-09-15

CPT 19307

HospitalMedian across insurers× MedicareInsurersFile date
Bryn Mawr Hospital Bryn Mawr$8,0991.2×22026-04-01
Riddle Memorial Hospital Media$8,5581.3×22026-04-01
Upmc Presbyterian Shadyside Pittsburgh$10,7421.7×12026-03-06
Thomas Jefferson University Hospital Philadelphia$12,5931.9×32026-09-15
Lehigh Valley Hospital Allentown$18,7302.8×82026-07-01

MS-DRG 583

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$26,4222.1×42026-04-01
Bryn Mawr Hospital Bryn Mawr$28,8222.3×42026-04-01
Lehigh Valley Hospital Allentown$33,6612.7×52026-07-01
Thomas Jefferson University Hospital Philadelphia$42,2623.4×52026-09-15
Upmc Presbyterian Shadyside Pittsburgh$45,0143.8×12026-03-06

MS-DRG 582

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$28,8202.0×42026-04-01
Bryn Mawr Hospital Bryn Mawr$31,5182.2×42026-04-01
Lehigh Valley Hospital Allentown$37,6082.7×52026-07-01
Thomas Jefferson University Hospital Philadelphia$47,2183.4×52026-09-15
Upmc Presbyterian Shadyside Pittsburgh$49,1093.7×12026-03-06

Questions

How much do insurers pay for mastectomy in Pennsylvania?

5 Pennsylvania hospitals post usable commercial rates for mastectomy in their federal price-transparency files. For CPT 19303, hospital outpatient, the median across 4 hospitals is $6,243, 0.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.