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

Posted commercial rates at 13 Kentucky hospitals, each next to its own Medicare base rate.

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CPT 38525

HospitalMedian across insurers× MedicareInsurersFile date
King'S Daughters' Medical Center Ashland$2,1540.6×22026-09-25
Tristar Greenview Regional Hospital Bowling Green$2,7460.8×32026-09-01
Frankfort Regional Medical Center Frankfort$3,5951.0×32026-09-01
Saint Joseph Hospital Lexington$3,6521.0×22026-02-28
Chi Saint Joseph Mount Sterling Mount Sterling$4,2771.2×62026-02-28
Uofl Health - Shelbyville Hospital Shelbyville$4,6031.2×62026-01-01
Uofl Health - Jewish Hospital Louisville$4,6031.2×62026-01-01
Chi Saint Joseph East Lexington$4,7391.2×72026-02-28
Chi Saint Joseph Berea Nf Berea$4,7801.3×72026-02-28
Deaconess Henderson Hospital Henderson$5,0221.4×92026-02-09
Jennie Stuart Medical Center Hopkinsville$5,3031.4×22026-02-12
Chi Saint Joseph London London$5,5781.5×52026-02-28
Baptist Health Deaconess Madisonville Madisonville$6,3821.7×22026-02-03

Questions

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

13 Kentucky 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 13 hospitals is $4,603, 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.