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

Posted commercial rates at 8 New Mexico hospitals, each next to its own Medicare base rate.

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CPT 38525

HospitalMedian across insurers× MedicareInsurersFile date
Cibola General Hospital Grants$1,9910.5×1
Presbyterian Espanola Hospital Espanola$3,8721.0×12026-04-01
Christus St Vincent Regional Medical Center Santa Fe$4,0411.0×92026-01-13
Presbyterian Santa Fe Medical Center Santa Fe$5,5001.4×12026-04-01
Eastern New Mexico Medical Center Roswell$6,6861.7×42026-04-01
Presbyterian Hospital Albuquerque$10,4582.7×22026-04-01
Memorial Medical Center Las Cruces$11,4483.0×12026-07-10
Carlsbad Medical Center Carlsbad$13,8423.6×52026-04-01

Questions

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

8 New Mexico 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 8 hospitals is $6,093, 1.5× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.