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

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

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CPT 38525

HospitalMedian across insurers× MedicareInsurersFile date
Beverly Hospital Corporation Beverly$4,0860.9×42026-04-01
New England Baptist Hospital Boston$4,8461.0×32026-04-01
Beth Israel Deaconess Hospital - Plymouth Plymouth$5,4001.1×12026-04-01
Anna Jaques Hospital Newburyport$5,9821.3×22026-04-01
Lahey Hospital & Medical Center, Burlington Burlington$6,2181.3×12026-04-01
Beth Israel Deaconess Medical Center Boston$6,7501.4×22026-04-01
Winchester Hospital Winchester$6,7771.4×22026-04-01

Questions

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

7 Massachusetts 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 $5,982, 1.3× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.