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Mastectomy in Texas: what insurers pay

Posted commercial rates at 8 Texas 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 Seton Medical Center Austin Austin$5,0280.8×12026-01-01
Methodist Hospital San Antonio$6,0580.9×52026-09-01
Houston Methodist Hospital Houston$6,6711.0×52026-04-01
Baylor University Medical Center Dallas$6,7031.0×32026-06-29
St David's Medical Center Austin$7,0191.1×52026-09-01
Medical City Mckinney McKinney$9,8801.5×52026-09-01
Medical City Plano Plano$11,9601.8×52026-09-01
Texas Health Presbyterian Hospital Dallas Dallas$19,1402.9×22026-04-21

CPT 19307

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Seton Medical Center Austin Austin$5,0280.8×12026-01-01
St David's Medical Center Austin$8,9701.3×52026-09-01
Methodist Hospital San Antonio$9,6281.4×52026-09-01
Houston Methodist Hospital Houston$10,3731.6×42026-04-01
Baylor University Medical Center Dallas$10,7951.6×32026-06-29
Medical City Mckinney McKinney$13,1122.0×52026-09-01
Medical City Plano Plano$13,3552.0×52026-09-01
Texas Health Presbyterian Hospital Dallas Dallas$21,0743.2×22026-04-21

MS-DRG 583

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Seton Medical Center Austin Austin$11,2280.9×12026-01-01
St David's Medical Center Austin$14,3111.2×52026-09-01
Methodist Hospital San Antonio$15,6391.3×42026-09-01
Medical City Mckinney McKinney$22,4441.8×62026-09-01
Baylor University Medical Center Dallas$22,9661.9×42026-06-29
Medical City Plano Plano$24,0541.9×62026-09-01
Houston Methodist Hospital Houston$27,2942.2×22026-04-01
Texas Health Presbyterian Hospital Dallas Dallas$35,5282.9×42026-04-21

MS-DRG 582

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Seton Medical Center Austin Austin$12,5440.9×12026-01-01
St David's Medical Center Austin$15,8451.1×52026-09-01
Methodist Hospital San Antonio$17,3781.3×42026-09-01
Baylor University Medical Center Dallas$25,0541.8×42026-06-29
Medical City Mckinney McKinney$27,1402.0×62026-09-01
Medical City Plano Plano$29,2022.1×62026-09-01
Houston Methodist Hospital Houston$29,5002.1×22026-04-01
Texas Health Presbyterian Hospital Dallas Dallas$37,8762.8×42026-04-21

Questions

How much do insurers pay for mastectomy in Texas?

8 Texas hospitals post usable commercial rates for mastectomy in their federal price-transparency files. For CPT 19303, hospital outpatient, the median across 8 hospitals is $6,861, 1.0× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.