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Sentinel lymph node biopsy (underarm) in California: what insurers pay

Posted commercial rates at 95 California hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 38525

HospitalMedian across insurers× MedicareInsurersFile date
Desert Valley Hospital Victorville$3,6390.7×42026-09-01
Los Angeles Community Hospital Los Angeles$3,8790.8×32026-03-18
Foothill Regional Medical Center Tustin$4,2120.8×32026-03-18
Community Regional Medical Center Fresno$4,4940.9×82026-06-18
Fresno Surgical Hospital Fresno$4,4940.9×32026-06-16
Clovis Community Medical Center Clovis$4,6870.9×82026-06-15
Oroville Hospital Oroville$4,8141.0×52026-09-27
Hollywood Presbyterian Medical Center Los Angeles$4,9551.0×12026-03-12
Orange County Global Medical Center Santa Ana$5,0111.0×312026-06-15
Sherman Oaks Hospital Sherman Oaks$5,0111.0×42026-09-01
Riverside Community Hospital Riverside$5,0361.0×72026-09-01
Riverside University Health System-Medical Center Moreno Valley$5,0361.0×12026-03-30
Victor Valley Global Medical Center Victorville$5,0361.0×252026-05-13
Anaheim Global Medical Center Anaheim$5,0361.0×302026-06-15
Chapman Global Medical Center Orange$5,0361.0×252026-05-06
Providence Cedars Sinai Tarzana Medical Center Tarzana$5,0801.0×52026-04-01
South Coast Global Medical Center Santa Ana$5,1121.0×282026-06-15
Providence Mission Hospital Mission Viejo$5,1581.0×62026-04-01
Providence Saint Joseph Medical Ctr Burbank$5,1751.0×52026-04-01
Community Hospital Of Huntington Park Huntington Park$5,2391.0×152026-02-04
Memorial Hospital Of Gardena Gardena$5,2391.0×152026-02-04
East Los Angeles Doctors Hospital Los Angeles$5,2391.0×162026-02-04
Coast Plaza Hospital Norwalk$5,2391.0×152026-02-04
Loma Linda University Medical Center Loma Linda$5,5391.1×112026-09-02
Loma Linda University Medical Center-Murrieta Murrieta$5,5391.1×92026-09-02
Loma Linda University Children'S Hospital Loma Linda$5,5391.1×92026-09-02
Usc Verdugo Hills Hospital Glendale$5,5681.1×62026-04-01
Providence Little Co Of Mary Med Ctr San Pedro San Pedro$5,6091.1×52026-04-01
Providence Holy Cross Medical Center Mission Hills$5,6091.1×62026-04-01
Providence Little Company Of Mary Med Ctr Torrance Torrance$5,6091.1×52026-04-01
Menifee Global Medical Center Sun City$5,7321.1×162026-05-20
Saint Agnes Medical Center Fresno$5,7541.1×202026-03-31
San Dimas Community Hospital San Dimas$5,7631.1×82026-09-01
Saint John's Health Center Santa Monica$5,8211.2×52026-04-01
Hemet Global Medical Center Hemet$5,8881.2×152026-06-15
Providence St. Jude Medical Center Fullerton$5,9301.2×62026-04-01
Good Samaritan Hospital San Jose$6,3191.1×72026-09-01
Ucla West Valley Medical Center West Hills$6,4581.3×42026-03-29
Keck Hospital Of Usc Los Angeles$6,5471.3×92026-04-01
Centinela Hospital Medical Center Inglewood$6,7281.3×82026-09-01
Providence Santa Rosa Memorial Hospital Santa Rosa$6,7321.3×52026-04-01
Providence St. Joseph Hospital Orange$6,8541.4×62026-04-01
Santa Monica - Ucla Med Ctr & Orthopaedic Hospital Santa Monica$6,9991.4×52026-03-29
Ronald Reagan Ucla Medical Center Los Angeles$7,0041.4×52026-03-29
Stanford Health Care Tri-Valley Pleasanton$7,0421.3×32026-04-01
Tri-City Medical Center Oceanside$7,0501.4×72026-05-29
St Mary's Medical Center San Francisco$7,3441.3×72026-04-01
Shasta Regional Medical Center Redding$7,5171.5×32026-09-01
Southern California Hospital At Hollywood Hollywood$7,8501.6×32026-03-18
Uci Health-Lakewood Lakewood$8,1841.6×62026-04-01
John Muir Medical Center - Concord Campus Concord$8,5141.5×122026-03-23
Scripps Mercy Hospital San Diego$8,5611.7×52026-03-30
Scripps Memorial Hospital La Jolla La Jolla$8,5611.7×52026-03-30
Scripps Green Hospital La Jolla$8,5611.7×52026-03-30
Scripps Memorial Hospital - Encinitas Encinitas$8,5611.7×52026-03-30
Hoag Memorial Hospital Presbyterian Newport Beach$8,6681.7×42026-04-01
Palomar Health Downtown Campus Escondido$8,6721.7×22026-04-01
Memorialcare Saddleback Medical Center Laguna Hills$8,6741.7×102026-04-01
Providence Queen Of The Valley Medical Center Napa$9,1751.8×52026-04-01
Palomar Medical Center Poway Poway$9,2861.8×12026-04-01
Memorialcare Orange Coast Medical Center Fountain Valley$9,3481.9×102026-04-01
Rady Children'S Hospital - San Diego San Diego$9,4201.9×52026-04-01
John Muir Medical Center - Walnut Creek Campus Walnut Creek$9,6911.8×152026-03-23
Providence St Joseph Hospital Eureka$10,4132.1×52026-04-01
Memorialcare Long Beach Medical Center Long Beach$10,5062.1×92026-04-01
University Of California Davis Medical Center Sacramento$10,9952.2×22026-04-01
Los Robles Hospital & Medical Center Thousand Oaks$11,2972.2×52026-09-01
Kaiser Foundation Hospital - Los Angeles Los Angeles$11,2992.2×12026-04-01
Kaiser Foundation Hospital - Downey Downey$11,2992.2×12026-04-01
Kaiser Foundation Hospital - South Bay Harbor City$11,2992.2×12026-04-01
Kaiser Foundation Hospital - Zion San Diego$11,2992.2×12026-04-01
Kaiser Foundation Hospital - Woodland Hills Woodland Hills$11,2992.2×12026-04-01
Kaiser Foundation Hospital, Riverside Riverside$11,2992.2×12026-04-01
Kaiser Foundation Hospital - Baldwin Park Baldwin Park$11,2992.2×12026-04-01
Kaiser Foundation Hospital-Moreno Valley Moreno Valley$11,2992.2×12026-04-01
Kaiser Foundation Hospital - San Marcos San Marcos$11,2992.2×12026-04-01
Mission Community Hospital Panorama City$11,3832.3×22026-09-01
Providence Redwood Memorial Hospital Fortuna$12,8482.5×42026-04-01
Providence St Mary Medical Center Apple Valley$13,3222.6×42026-04-01
Cedars-Sinai Medical Center Los Angeles$14,3422.9×32025-11-26
Kaiser Foundation Hospital - South San Francisco South San Francisco$14,4912.6×12026-04-01
Kaiser Foundation Hospital-Santa Clara Santa Clara$14,4912.5×12026-04-01
Kaiser Foundation Hospital - Walnut Creek Walnut Creek$14,4912.6×12026-04-01
Kaiser Foundation Hospital - San Francisco San Francisco$14,4912.6×12026-04-01
Regional Medical Center Of San Jose San Jose$14,4912.5×12026-04-01
Kaiser Foundation Hospital - Sacramento Sacramento$14,4912.9×12026-04-01
Kaiser Foundation Hospital - Fremont Fremont$14,4912.6×12026-04-01
Kaiser Foundation Hospital - Redwood City Redwood City$14,4912.6×12026-04-01
Kaiser Foundation Hospital-Santa Rosa Santa Rosa$14,4912.8×12026-04-01
Kaiser Foundation Hospital - Fresno Fresno$14,4912.9×12026-04-01
Kaiser Foundation Hospital - Antioch Antioch$14,4912.6×12026-04-01
Kaiser Foundation Hospital - Vacaville Vacaville$14,4912.6×12026-04-01
Kaiser Foundation Hospital - Roseville Roseville$14,4912.9×12026-04-01
Kaiser Foundation Hospital - San Leandro San Leandro$14,4912.6×12026-04-01
Stanford Health Care Stanford$19,5073.4×42026-04-01

Questions

How much do insurers pay for sentinel lymph node biopsy (underarm) in California?

95 California hospitals post usable commercial rates for sentinel lymph node biopsy (underarm) in their federal price-transparency files. For CPT 38525, hospital outpatient, the median across 95 hospitals is $7,517, 1.5× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.