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

Posted commercial rates at 7 California hospitals, each next to its own Medicare base rate.

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CPT 38525

HospitalMedian across insurers× MedicareInsurersFile date
Scripps Green Hospital La Jolla$5,0361.0×12026-03-30
Keck Hospital Of Usc Los Angeles$8,9971.8×52026-04-01
Los Robles Hospital & Medical Center Thousand Oaks$11,2972.2×52026-09-01
John Muir Medical Center - Concord Campus Concord$11,7152.1×32026-03-23
John Muir Medical Center - Walnut Creek Campus Walnut Creek$12,1722.2×62026-03-23
Cedars-Sinai Medical Center Los Angeles$14,3422.9×32025-11-26
Stanford Health Care Stanford$19,5073.4×42026-04-01

Questions

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

7 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 7 hospitals is $11,715, 2.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.