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

Posted commercial rates at 4 Montana hospitals, each next to its own Medicare base rate.

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CPT 38525

HospitalMedian across insurers× MedicareInsurersFile date
St Peters Health Helena$4,7641.2×222026-03-31
Intermountain Health St Vincent Regional Hospital Billings$7,5281.9×82026-03-22
Intermountain Health St James Hospital Butte$8,0412.0×32026-03-22
Providence St Joseph Medical Center Polson$11,2182.8×12026-04-01

Questions

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

4 Montana 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 4 hospitals is $7,785, 1.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.