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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 |
|---|---|---|---|
| Tri-City Medical Center median $11,957 · local Medicare $8,540 · file 2026-05-29 | |||
| Aetna | $6,640 | 0.8× | 1 |
| Blue Shield of California | $4,286 | 0.5× | 1 |
| Bright Health | $13,665 | 1.6× | 1 |
| Elevance/Anthem/Empire | $13,494 | 1.6× | 1 |
| Health Net | $12,213 | 1.4× | 1 |
| Kaiser Permanente | $8,540 | 1.0× | 1 |
| Providence Health Plan | $11,957 | 1.4× | 1 |
| Scripps Mercy Hospital median $14,519 · local Medicare $8,540 · file 2026-03-30 | |||
| Health Net | $21,351 | 2.5× | 1 |
| Mpmg | $8,540 | 1.0× | 1 |
| Prime Healthcare | $14,519 | 1.7× | 1 |
| Prospect Med Group | $14,946 | 1.8× | 1 |
| UnitedHealthcare | $8,540 | 1.0× | 1 |
| Scripps Memorial Hospital La Jolla median $14,519 · local Medicare $8,540 · file 2026-03-30 | |||
| Health Net | $21,351 | 2.5× | 1 |
| Mpmg | $8,540 | 1.0× | 1 |
| Prime Healthcare | $14,519 | 1.7× | 1 |
| Prospect Med Group | $14,946 | 1.8× | 1 |
| UnitedHealthcare | $8,540 | 1.0× | 1 |
| Scripps Green Hospital median $14,519 · local Medicare $8,540 · file 2026-03-30 | |||
| Health Net | $21,351 | 2.5× | 1 |
| Mpmg | $8,540 | 1.0× | 1 |
| Prime Healthcare | $14,519 | 1.7× | 1 |
| Prospect Med Group | $14,946 | 1.8× | 1 |
| UnitedHealthcare | $8,540 | 1.0× | 1 |
| Scripps Memorial Hospital - Encinitas median $14,519 · local Medicare $8,540 · file 2026-03-30 | |||
| Health Net | $21,351 | 2.5× | 1 |
| Mpmg | $8,540 | 1.0× | 1 |
| Prime Healthcare | $14,519 | 1.7× | 1 |
| Prospect Med Group | $14,946 | 1.8× | 1 |
| UnitedHealthcare | $8,540 | 1.0× | 1 |
| Palomar Health Downtown Campus median $14,706 · local Medicare $8,540 · file 2026-04-01 | |||
| Health Net | $15,748 | 1.8× | 1 |
| Scripps | $13,665 | 1.6× | 1 |
| Palomar Medical Center Poway median $15,748 · local Medicare $8,540 · file 2026-04-01 | |||
| Health Net | $15,748 | 1.8× | 1 |
CPT 19307
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Tri-City Medical Center median $11,957 · local Medicare $8,540 · file 2026-05-29 | |||
| Aetna | $6,640 | 0.8× | 1 |
| Blue Shield of California | $5,761 | 0.7× | 1 |
| Bright Health | $13,665 | 1.6× | 1 |
| Elevance/Anthem/Empire | $13,494 | 1.6× | 1 |
| Health Net | $12,213 | 1.4× | 1 |
| Kaiser Permanente | $8,540 | 1.0× | 1 |
| Providence Health Plan | $11,957 | 1.4× | 1 |
| Scripps Mercy Hospital median $14,519 · local Medicare $8,540 · file 2026-03-30 | |||
| Health Net | $21,351 | 2.5× | 1 |
| Mpmg | $8,540 | 1.0× | 1 |
| Prime Healthcare | $14,519 | 1.7× | 1 |
| Prospect Med Group | $14,946 | 1.8× | 1 |
| UnitedHealthcare | $8,540 | 1.0× | 1 |
| Scripps Memorial Hospital La Jolla median $14,519 · local Medicare $8,540 · file 2026-03-30 | |||
| Health Net | $21,351 | 2.5× | 1 |
| Mpmg | $8,540 | 1.0× | 1 |
| Prime Healthcare | $14,519 | 1.7× | 1 |
| Prospect Med Group | $14,946 | 1.8× | 1 |
| UnitedHealthcare | $8,540 | 1.0× | 1 |
| Scripps Green Hospital median $14,519 · local Medicare $8,540 · file 2026-03-30 | |||
| Health Net | $21,351 | 2.5× | 1 |
| Mpmg | $8,540 | 1.0× | 1 |
| Prime Healthcare | $14,519 | 1.7× | 1 |
| Prospect Med Group | $14,946 | 1.8× | 1 |
| UnitedHealthcare | $8,540 | 1.0× | 1 |
| Scripps Memorial Hospital - Encinitas median $14,519 · local Medicare $8,540 · file 2026-03-30 | |||
| Health Net | $21,351 | 2.5× | 1 |
| Mpmg | $8,540 | 1.0× | 1 |
| Prime Healthcare | $14,519 | 1.7× | 1 |
| Prospect Med Group | $14,946 | 1.8× | 1 |
| UnitedHealthcare | $8,540 | 1.0× | 1 |
| Palomar Health Downtown Campus median $14,706 · local Medicare $8,540 · file 2026-04-01 | |||
| Health Net | $15,748 | 1.8× | 1 |
| Scripps | $13,665 | 1.6× | 1 |
| Palomar Medical Center Poway median $15,748 · local Medicare $8,540 · file 2026-04-01 | |||
| Health Net | $15,748 | 1.8× | 1 |
MS-DRG 583
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Scripps Mercy Hospital median $19,950 · local Medicare $16,116 · file 2026-03-30 | |||
| Aetna | $44,560 | 2.8× | 5 |
| Blue Shield of California | $18,616 | 1.2× | 2 |
| Centivo | $24,142 | 1.5× | 1 |
| Cigna | $26,507 | 1.6× | 5 |
| Elevance/Anthem/Empire | $24,674 | 1.5× | 11 |
| Health Net | $19,950 | 1.2× | 2 |
| HealthPartners | $24,674 | 1.5× | 1 |
| Mc Alignment | $18,616 | 1.2× | 1 |
| Mc Health Net | $18,616 | 1.2× | 1 |
| Mc Scan | $18,616 | 1.2× | 1 |
| Mpmg | $19,950 | 1.2× | 1 |
| Prime Healthcare | $19,950 | 1.2× | 1 |
| Prospect Med Group | $19,950 | 1.2× | 1 |
| Ucsd | $39,570 | 2.5× | 1 |
| UnitedHealthcare | $31,643 | 2.0× | 6 |
| Scripps Green Hospital median $19,950 · local Medicare $16,116 · file 2026-03-30 | |||
| Aetna | $44,560 | 2.8× | 5 |
| Blue Shield of California | $16,708 | 1.0× | 2 |
| Centivo | $24,142 | 1.5× | 1 |
| Cigna | $26,507 | 1.6× | 5 |
| Elevance/Anthem/Empire | $24,674 | 1.5× | 11 |
| Health Net | $19,460 | 1.2× | 2 |
| HealthPartners | $24,674 | 1.5× | 1 |
| Mc Alignment | $16,708 | 1.0× | 1 |
| Mc Health Net | $16,708 | 1.0× | 1 |
| Mc Scan | $16,708 | 1.0× | 1 |
| Mpmg | $19,950 | 1.2× | 1 |
| Prime Healthcare | $19,460 | 1.2× | 1 |
| Prospect Med Group | $19,460 | 1.2× | 1 |
| Ucsd | $39,570 | 2.5× | 1 |
| UnitedHealthcare | $31,643 | 2.0× | 6 |
| Scripps Memorial Hospital La Jolla median $24,674 · local Medicare $16,116 · file 2026-03-30 | |||
| Aetna | $44,560 | 2.8× | 5 |
| Blue Shield of California | $16,766 | 1.0× | 2 |
| Centivo | $24,142 | 1.5× | 1 |
| Cigna | $26,507 | 1.6× | 5 |
| Elevance/Anthem/Empire | $24,674 | 1.5× | 11 |
| Health Net | $16,766 | 1.0× | 2 |
| HealthPartners | $24,674 | 1.5× | 1 |
| Mc Alignment | $16,766 | 1.0× | 1 |
| Mc Health Net | $16,766 | 1.0× | 1 |
| Mc Scan | $16,766 | 1.0× | 1 |
| Mpmg | $19,950 | 1.2× | 1 |
| Prime Healthcare | $28,502 | 1.8× | 1 |
| Prospect Med Group | $29,340 | 1.8× | 1 |
| Ucsd | $39,570 | 2.5× | 1 |
| UnitedHealthcare | $31,643 | 2.0× | 6 |
| Tri-City Medical Center median $25,180 · local Medicare $16,116 · file 2026-05-29 | |||
| Elevance/Anthem/Empire | $26,031 | 1.6× | 1 |
| Health Net | $24,330 | 1.5× | 1 |
| Kaiser Permanente | $28,924 | 1.8× | 1 |
| Providence Health Plan | $23,819 | 1.5× | 1 |
| Palomar Health Downtown Campus median $28,594 · local Medicare $16,116 · file 2026-04-01 | |||
| Health Net | $34,438 | 2.1× | 1 |
| Prospect | $24,126 | 1.5× | 1 |
| Scripps | $28,594 | 1.8× | 1 |
| Palomar Medical Center Poway median $28,850 · local Medicare $16,116 · file 2026-04-01 | |||
| Health Net | $33,930 | 2.1× | 1 |
| Prospect | $23,770 | 1.5× | 1 |
MS-DRG 582
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Scripps Mercy Hospital median $22,176 · local Medicare $18,006 · file 2026-03-30 | |||
| Aetna | $49,785 | 2.8× | 5 |
| Blue Shield of California | $20,686 | 1.1× | 2 |
| Centivo | $26,972 | 1.5× | 1 |
| Cigna | $29,616 | 1.6× | 5 |
| Elevance/Anthem/Empire | $27,568 | 1.5× | 11 |
| Health Net | $22,176 | 1.2× | 2 |
| HealthPartners | $27,568 | 1.5× | 1 |
| Mc Alignment | $20,686 | 1.1× | 1 |
| Mc Health Net | $20,686 | 1.1× | 1 |
| Mc Scan | $20,686 | 1.1× | 1 |
| Mpmg | $22,176 | 1.2× | 1 |
| Prime Healthcare | $22,176 | 1.2× | 1 |
| Prospect Med Group | $22,176 | 1.2× | 1 |
| Ucsd | $44,210 | 2.5× | 1 |
| UnitedHealthcare | $35,353 | 2.0× | 6 |
| Tri-City Medical Center median $27,994 · local Medicare $18,006 · file 2026-05-29 | |||
| Elevance/Anthem/Empire | $28,940 | 1.6× | 1 |
| Health Net | $27,048 | 1.5× | 1 |
| Kaiser Permanente | $32,155 | 1.8× | 1 |
| Providence Health Plan | $26,481 | 1.5× | 1 |
| Palomar Health Downtown Campus median $31,762 · local Medicare $18,006 · file 2026-04-01 | |||
| Health Net | $38,254 | 2.1× | 1 |
| Prospect | $26,800 | 1.5× | 1 |
| Scripps | $31,762 | 1.8× | 1 |
| Palomar Medical Center Poway median $32,119 · local Medicare $18,006 · file 2026-04-01 | |||
| Health Net | $37,774 | 2.1× | 1 |
| Prospect | $26,464 | 1.5× | 1 |
Questions
How much does mastectomy cost with commercial insurance in San Diego CA?
7 San Diego CA hospitals post usable commercial rates for CPT 19303, hospital outpatient. The median across hospitals is $14,519; hospital medians range from $11,957 to $15,748. Your cost depends on your plan's deductible and coinsurance.