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

Posted commercial rates at 14 Idaho hospitals, each next to its own Medicare base rate.

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CPT 38525

HospitalMedian across insurers× MedicareInsurersFile date
Saint Alphonsus Regional Medical Center Boise$3,2250.8×12026-03-31
St Joseph Regional Medical Center Lewiston$3,4380.9×12026-04-01
North Canyon Medical Center Gooding$3,8291.0×12026-04-13
Intermountain Health Cassia Regional Hospital Burley$4,2341.1×12026-08-05
Treasure Valley Hospital Boise$5,5501.4×32026-09-02
Mountain View Hospital Idaho Falls$5,8291.5×22026-03-16
Idaho Falls Community Hospital, Llc Idaho Falls$8,7042.3×32026-03-16
St Luke'S Nampa Medical Center Nampa$9,7262.5×72026-03-25
St Luke'S Jerome Jerome$9,7262.5×82026-03-25
St Luke'S Elmore Medical Center Mountain Home$9,7262.5×82026-03-25
West Valley Medical Center Caldwell$9,8752.5×32026-09-01
Kootenai Health Coeur D'Alene$10,2822.6×32026-03-27
St Luke'S Regional Medical Center Boise$11,5492.9×32026-03-25
Saint Alphonsus Medical Center - Nampa Nampa$12,8853.3×72026-03-31

Questions

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

14 Idaho 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 14 hospitals is $9,215, 2.4× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.