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Mastectomy in Virginia: what insurers pay

Posted commercial rates at 34 Virginia 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
Sentara Martha Jefferson Hospital Charlottesville$6,2800.9×42026-04-01
Inova Alexandria Hospital Alexandria$7,3971.1×72026-04-01
Inova Loudoun Hospital Leesburg$7,3971.1×72026-04-01
Inova Fairfax Hospital Falls Church$7,3971.1×72026-04-01
Inova Fair Oaks Hospital Fairfax$7,3971.1×72026-04-01
Inova Mount Vernon Hospital Alexandria$7,3971.1×72026-04-01
Spotsylvania Regional Medical Center Fredericksburg$7,4141.1×52026-09-01
Sentara Northern Virginia Medical Center Woodbridge$8,0131.2×42026-04-01
CJW Medical Center (Chippenham + Johnston-Willis) Richmond$8,7021.3×62026-09-01
Henrico Doctors' Hospital Richmond$8,7021.3×62026-09-01
Reston Hospital Center Reston$8,7731.3×62026-09-01
Stonesprings Hospital Center Dulles$8,7731.3×62026-09-01
Tricities Hospital Hopewell$9,0001.4×52026-09-01
Lewisgale Hospital Pulaski Pulaski$11,1291.7×32026-09-01
Lewisgale Hospital Alleghany Low Moor$11,3211.8×32026-09-01
Augusta Health Fishersville$14,5982.3×32026-04-01
Lewisgale Medical Center Salem$14,6242.3×22026-09-01
Lewisgale Hospital Montgomery Blacksburg$16,1422.5×32026-09-01
Riverside Regional Medical Center Newport News$16,6712.6×22026-01-02
Sentara Obici Hospital Suffolk$16,9962.6×32026-04-01
Sentara Leigh Hospital Norfolk$16,9962.6×32026-04-01
Sentara Princess Anne Hospital Virginia Beach$16,9962.6×32026-04-01
Sentara Virginia Beach General Hospital Virginia Beach$17,1042.6×32026-04-01
Sentara Norfolk General Hospital Norfolk$17,1872.6×32026-04-01
Riverside Doctors' Hospital Of Williamsburg Williamsburg$19,2263.0×12026-01-02
Sentara Careplex Hospital Hampton$19,3723.0×22026-04-01
Riverside Shore Memorial Hospital Onancock$19,4003.0×12026-01-02
Sentara Williamsburg Regional Medical Center Williamsburg$20,2943.1×22026-04-01
Sentara Rmh Medical Center Harrisonburg$20,4313.1×12026-04-01

CPT 19307

HospitalMedian across insurers× MedicareInsurersFile date
Spotsylvania Regional Medical Center Fredericksburg$8,3391.2×42026-09-01
Sentara Martha Jefferson Hospital Charlottesville$8,8561.3×42026-04-01
CJW Medical Center (Chippenham + Johnston-Willis) Richmond$9,3581.4×52026-09-01
Inova Alexandria Hospital Alexandria$9,9271.4×72026-04-01
Inova Loudoun Hospital Leesburg$9,9271.4×72026-04-01
Inova Fairfax Hospital Falls Church$9,9271.4×72026-04-01
Inova Fair Oaks Hospital Fairfax$9,9271.4×72026-04-01
Inova Mount Vernon Hospital Alexandria$9,9271.4×72026-04-01
Reston Hospital Center Reston$10,3541.5×52026-09-01
Stonesprings Hospital Center Dulles$10,3921.5×52026-09-01
Tricities Hospital Hopewell$10,6641.6×42026-09-01
Sentara Northern Virginia Medical Center Woodbridge$10,9021.6×42026-04-01
Henrico Doctors' Hospital Richmond$11,1021.7×52026-09-01
Lewisgale Hospital Pulaski Pulaski$13,7932.1×22026-09-01
Lewisgale Hospital Alleghany Low Moor$16,1502.5×22026-09-01
Lewisgale Medical Center Salem$16,4422.5×22026-09-01
Augusta Health Fishersville$17,6562.7×32026-04-01
Sentara Leigh Hospital Norfolk$18,8832.9×32026-04-01
Riverside Doctors' Hospital Of Williamsburg Williamsburg$19,2263.0×12026-01-02
Riverside Shore Memorial Hospital Onancock$19,4003.0×12026-01-02
Lewisgale Hospital Montgomery Blacksburg$19,8223.1×22026-09-01
Sentara Virginia Beach General Hospital Virginia Beach$20,3763.1×32026-04-01
Sentara Rmh Medical Center Harrisonburg$20,4313.1×12026-04-01
Riverside Regional Medical Center Newport News$20,8553.2×12026-01-02
Sentara Obici Hospital Suffolk$21,4013.3×32026-04-01
Sentara Princess Anne Hospital Virginia Beach$21,4013.3×32026-04-01
Sentara Careplex Hospital Hampton$21,5743.3×22026-04-01
Sentara Norfolk General Hospital Norfolk$21,6393.3×32026-04-01
Sentara Williamsburg Regional Medical Center Williamsburg$22,5203.5×22026-04-01

MS-DRG 583

HospitalMedian across insurers× MedicareInsurersFile date
Spotsylvania Regional Medical Center Fredericksburg$13,9381.1×72026-09-01
Lewisgale Hospital Pulaski Pulaski$16,8401.4×62026-09-01
Reston Hospital Center Reston$17,0241.3×92026-09-01
Tricities Hospital Hopewell$17,2261.4×82026-09-01
Lewisgale Hospital Montgomery Blacksburg$17,3761.4×72026-09-01
Lewisgale Medical Center Salem$18,3771.5×42026-09-01
Stonesprings Hospital Center Dulles$18,7621.5×82026-09-01
Lewisgale Hospital Alleghany Low Moor$18,9641.6×62026-09-01
CJW Medical Center (Chippenham + Johnston-Willis) Richmond$19,9311.7×92026-09-01
Henrico Doctors' Hospital Richmond$19,9311.7×92026-09-01
Sentara Northern Virginia Medical Center Woodbridge$23,7621.9×52026-04-01
Sentara Martha Jefferson Hospital Charlottesville$28,4772.3×42026-04-01
Riverside Shore Memorial Hospital Onancock$31,2112.6×52026-01-02
Riverside Regional Medical Center Newport News$31,2112.6×52026-01-02
Riverside Doctors' Hospital Of Williamsburg Williamsburg$31,2112.6×52026-01-02
Inova Alexandria Hospital Alexandria$32,2072.5×72026-04-01
Inova Mount Vernon Hospital Alexandria$32,2182.5×72026-04-01
Sentara Virginia Beach General Hospital Virginia Beach$32,6032.7×32026-04-01
Inova Loudoun Hospital Leesburg$33,0382.6×72026-04-01
Inova Fairfax Hospital Falls Church$33,3602.6×72026-04-01
Sentara Rmh Medical Center Harrisonburg$33,6312.7×12026-04-01
Inova Fair Oaks Hospital Fairfax$33,6592.6×72026-04-01
Sentara Obici Hospital Suffolk$34,0072.8×42026-04-01
Sentara Leigh Hospital Norfolk$34,1672.9×32026-04-01
Sentara Princess Anne Hospital Virginia Beach$34,3242.9×42026-04-01
Augusta Health Fishersville$34,7962.9×32026-04-01
Sentara Careplex Hospital Hampton$35,5473.0×32026-04-01
Sentara Williamsburg Regional Medical Center Williamsburg$35,8903.0×32026-04-01
Bon Secours St. Francis Medical Center Midlothian$36,9783.1×52026-04-01
VCU Medical Center Richmond$40,6273.4×32026-01-02
Sentara Norfolk General Hospital Norfolk$41,6443.5×42026-04-01
Carilion New River Valley Medical Center Christiansburg$56,8434.8×12025-12-15

MS-DRG 582

HospitalMedian across insurers× MedicareInsurersFile date
Spotsylvania Regional Medical Center Fredericksburg$16,7361.2×72026-09-01
Lewisgale Hospital Pulaski Pulaski$18,0121.4×62026-09-01
Tricities Hospital Hopewell$19,1931.4×82026-09-01
Lewisgale Hospital Montgomery Blacksburg$19,3601.4×72026-09-01
Lewisgale Hospital Alleghany Low Moor$20,4611.5×62026-09-01
Lewisgale Medical Center Salem$20,5021.5×42026-09-01
Reston Hospital Center Reston$21,8011.5×92026-09-01
CJW Medical Center (Chippenham + Johnston-Willis) Richmond$22,2681.7×92026-09-01
Henrico Doctors' Hospital Richmond$22,2681.7×92026-09-01
Stonesprings Hospital Center Dulles$22,3521.6×82026-09-01
Sentara Northern Virginia Medical Center Woodbridge$26,5491.9×52026-04-01
Sentara Martha Jefferson Hospital Charlottesville$31,8162.3×42026-04-01
Riverside Shore Memorial Hospital Onancock$33,2732.5×52026-01-02
Riverside Regional Medical Center Newport News$33,2732.5×52026-01-02
Riverside Doctors' Hospital Of Williamsburg Williamsburg$33,2732.5×52026-01-02
Inova Alexandria Hospital Alexandria$34,3342.4×72026-04-01
Inova Mount Vernon Hospital Alexandria$34,3462.4×72026-04-01
Inova Loudoun Hospital Leesburg$35,2202.5×72026-04-01
Inova Fairfax Hospital Falls Church$35,5632.5×72026-04-01
Inova Fair Oaks Hospital Fairfax$35,8822.5×72026-04-01
Sentara Virginia Beach General Hospital Virginia Beach$36,4262.7×32026-04-01
Augusta Health Fishersville$37,0972.8×32026-04-01
Sentara Rmh Medical Center Harrisonburg$37,5742.7×12026-04-01
Sentara Obici Hospital Suffolk$37,9942.8×42026-04-01
Sentara Leigh Hospital Norfolk$38,1742.9×32026-04-01
Sentara Princess Anne Hospital Virginia Beach$38,3482.9×42026-04-01
Sentara Careplex Hospital Hampton$39,7153.0×32026-04-01
Sentara Williamsburg Regional Medical Center Williamsburg$40,0983.0×32026-04-01
Bon Secours St. Francis Medical Center Midlothian$41,3143.1×52026-04-01
Fauquier Hospital Warrenton$42,9433.0×12026-07-14
VCU Medical Center Richmond$43,3113.2×32026-01-02
Sentara Norfolk General Hospital Norfolk$46,5263.5×42026-04-01
Carilion Roanoke Memorial Hospital Roanoke$56,0514.2×12025-12-15
Carilion New River Valley Medical Center Christiansburg$63,5084.8×12025-12-15

Questions

How much do insurers pay for mastectomy in Virginia?

34 Virginia hospitals post usable commercial rates for mastectomy in their federal price-transparency files. For CPT 19303, hospital outpatient, the median across 29 hospitals is $11,321, 1.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.