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

Posted commercial rates at 3 Missouri hospitals, each next to its own Medicare base rate.

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CPT 38525

HospitalMedian across insurers× MedicareInsurersFile date
Mercy Hospital St Louis Saint Louis$4,9531.3×12026-06-04
Mercy Hospital Jefferson Festus$4,9531.3×12026-06-10
Mercy Hospital South Saint Louis$4,9531.3×12026-06-10

Questions

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

3 Missouri 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 3 hospitals is $4,953, 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.