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Mastectomy in Tennessee: what insurers pay

Posted commercial rates at 4 Tennessee 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
Ascension Saint Thomas Hospital (Midtown + West) Nashville$3,9420.6×12026-01-01
Vanderbilt University Medical Center Nashville$4,5660.7×42025-10-01
TriStar StoneCrest Medical Center Smyrna$4,9150.8×42026-09-01

CPT 19307

HospitalMedian across insurers× MedicareInsurersFile date
Vanderbilt University Medical Center Nashville$3,6720.6×42025-10-01
Ascension Saint Thomas Hospital (Midtown + West) Nashville$5,5970.9×12026-01-01
TriStar StoneCrest Medical Center Smyrna$5,7480.9×52026-09-01

MS-DRG 583

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Saint Thomas Rutherford Murfreesboro$14,3841.2×62026-01-01
TriStar StoneCrest Medical Center Smyrna$14,9931.3×72026-09-01
Ascension Saint Thomas Hospital (Midtown + West) Nashville$15,3861.3×72026-01-01
Vanderbilt University Medical Center Nashville$30,2582.6×62025-10-01

MS-DRG 582

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Saint Thomas Rutherford Murfreesboro$15,0841.1×62026-01-01
Ascension Saint Thomas Hospital (Midtown + West) Nashville$15,7241.2×72026-01-01
TriStar StoneCrest Medical Center Smyrna$16,0951.2×72026-09-01
Vanderbilt University Medical Center Nashville$33,8062.6×62025-10-01

Questions

How much do insurers pay for mastectomy in Tennessee?

4 Tennessee hospitals post usable commercial rates for mastectomy in their federal price-transparency files. For CPT 19303, hospital outpatient, the median across 3 hospitals is $4,566, 0.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.