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Mastectomy in Utah: what insurers pay

Posted commercial rates at 16 Utah 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
Intermountain Health Logan Regional Hospital Logan$5,7880.9×22026-08-05
Mckay-Dee Hospital Ogden$5,8760.9×52026-08-05
Intermountain Health Park City Hospital Park City$5,8760.9×12026-08-05
Intermountain Health Heber Valley Hospital Heber City$5,8760.9×12026-08-05
Intermountain Health Utah Valley Hospital Provo$5,9370.9×32026-08-05
Intermountain Health Cedar City Hospital Cedar City$5,9370.9×12026-08-05
Lds Hospital Salt Lake City$5,9370.9×32026-08-05
Intermountain Health Primary Children'S Hospital Salt Lake City$5,9370.9×12026-08-05
Intermountain Medical Center Murray$6,0760.9×22026-08-05
Orem Community Hospital Orem$6,0760.9×22026-08-05
Intermountain Health Alta View Hospital Sandy$6,0760.9×22026-08-05
Intermountain Health Riverton Hospital Riverton$6,0760.9×22026-08-05
Intermountain Health Layton Hospital Layton$6,0760.9×22026-08-05
Intermountain Health Spanish Fork Hospital Spanish Fork$6,0760.9×22026-08-05
American Fork Hospital American Fork$6,2760.9×22026-08-05

CPT 19307

HospitalMedian across insurers× MedicareInsurersFile date
Intermountain Health Logan Regional Hospital Logan$5,7880.9×22026-08-05
Mckay-Dee Hospital Ogden$5,8760.9×52026-08-05
Intermountain Health Park City Hospital Park City$5,8760.9×12026-08-05
Intermountain Health Heber Valley Hospital Heber City$5,8760.9×12026-08-05
Intermountain Health Utah Valley Hospital Provo$5,9370.9×32026-08-05
Intermountain Health Cedar City Hospital Cedar City$5,9370.9×12026-08-05
Lds Hospital Salt Lake City$5,9370.9×32026-08-05
Intermountain Health Primary Children'S Hospital Salt Lake City$5,9370.9×12026-08-05
Intermountain Medical Center Murray$6,0760.9×22026-08-05
American Fork Hospital American Fork$6,0760.9×22026-08-05
Orem Community Hospital Orem$6,0760.9×22026-08-05
Intermountain Health Alta View Hospital Sandy$6,0760.9×22026-08-05
Intermountain Health Riverton Hospital Riverton$6,0760.9×22026-08-05
Intermountain Health Layton Hospital Layton$6,0760.9×22026-08-05
Intermountain Health Spanish Fork Hospital Spanish Fork$6,0760.9×22026-08-05
Castleview Hospital Price$22,6433.4×12026-07-14

MS-DRG 583

HospitalMedian across insurers× MedicareInsurersFile date
Intermountain Health Utah Valley Hospital Provo$31,8172.6×62026-08-05
Mckay-Dee Hospital Ogden$31,8172.6×62026-08-05
Intermountain Medical Center Murray$31,8172.6×62026-08-05
American Fork Hospital American Fork$31,8172.6×62026-08-05
Orem Community Hospital Orem$31,8172.6×62026-08-05
Intermountain Health Alta View Hospital Sandy$31,8172.6×62026-08-05
Intermountain Health Riverton Hospital Riverton$31,8172.6×62026-08-05
Intermountain Health Layton Hospital Layton$31,8172.6×62026-08-05
Intermountain Health Spanish Fork Hospital Spanish Fork$31,8172.6×62026-08-05
Lds Hospital Salt Lake City$33,8122.7×62026-08-05
Intermountain Health Logan Regional Hospital Logan$55,9124.5×112026-08-05
Intermountain Health Park City Hospital Park City$58,1764.7×62026-08-05
Intermountain Health Heber Valley Hospital Heber City$58,1764.7×62026-08-05

MS-DRG 582

HospitalMedian across insurers× MedicareInsurersFile date
Lds Hospital Salt Lake City$36,5272.6×62026-08-05
Mckay-Dee Hospital Ogden$37,8462.7×62026-08-05
Intermountain Health Utah Valley Hospital Provo$38,5482.8×62026-08-05
Intermountain Medical Center Murray$38,5482.8×62026-08-05
American Fork Hospital American Fork$38,5482.8×62026-08-05
Orem Community Hospital Orem$38,5482.8×62026-08-05
Intermountain Health Alta View Hospital Sandy$38,5482.8×62026-08-05
Intermountain Health Riverton Hospital Riverton$38,5482.8×62026-08-05
Intermountain Health Layton Hospital Layton$38,5482.8×62026-08-05
Intermountain Health Spanish Fork Hospital Spanish Fork$38,5482.8×62026-08-05
Intermountain Health Logan Regional Hospital Logan$43,0983.1×112026-08-05
Intermountain Health Park City Hospital Park City$44,8433.2×62026-08-05
Intermountain Health Heber Valley Hospital Heber City$44,8433.2×62026-08-05

Questions

How much do insurers pay for mastectomy in Utah?

16 Utah hospitals post usable commercial rates for mastectomy in their federal price-transparency files. For CPT 19303, hospital outpatient, the median across 15 hospitals is $5,937, 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.