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

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

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CPT 38525

HospitalMedian across insurers× MedicareInsurersFile date
Adventhealth Porter Denver$4,3001.0×22026-04-01
Adventhealth Parker Parker$4,3001.0×22026-04-01
HCA HealthONE Presbyterian/St. Luke's Denver$4,7541.1×42026-09-01
HCA HealthONE Swedish Englewood$4,7641.1×42026-09-01
HCA HealthONE Sky Ridge Lone Tree$4,9841.2×42026-09-01
Hca Healthone Rose Denver$5,0041.2×42026-09-01
UCHealth University of Colorado Hospital Aurora$5,9801.4×32025-11-01

Questions

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

7 Colorado 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 $4,764, 1.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.