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

Posted commercial rates at 6 Michigan hospitals, each next to its own Medicare base rate.

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CPT 38525

HospitalMedian across insurers× MedicareInsurersFile date
Corewell Health Beaumont Grosse Pointe Hospital Grosse Pointe$3,0010.8×12026-05-01
Corewell Health William Beaumont University Hospit Royal Oak$3,0010.8×12026-05-01
Corewell Health Beaumont Troy Hospital Troy$3,0010.8×12026-05-01
Trinity Health Oakland Hospital Pontiac$3,3980.9×162026-03-31
Henry Ford Health Rochester Hospital Rochester$4,0011.0×12026-01-01
Harper University Hospital Detroit$5,8121.5×12026-09-02

Questions

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

6 Michigan 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 6 hospitals is $3,200, 0.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.