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

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

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CPT 38525

HospitalMedian across insurers× MedicareInsurersFile date
Endeavor Health Evanston Hospital Evanston$4,0381.0×32026-04-01
Sarah Bush Lincoln Health Center Mattoon$4,2861.0×22026-06-03
Endeavor Health Northwest Community Hospital Arlington Heights$4,5481.1×22026-04-01
Endeavor Health Edward Hospital Naperville$5,1841.2×22026-04-01
Endeavor Health Elmhurst Hospital Elmhurst$5,8811.4×22026-04-01
Loyola University Medical Center Maywood$6,3601.5×12026-03-31
University of Chicago Medical Center Chicago$7,9121.9×22026-04-01

Questions

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

7 Illinois 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 $5,184, 1.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.