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

Posted commercial rates at 38 New York hospitals, each next to its own Medicare base rate.

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CPT 38525

HospitalMedian across insurers× MedicareInsurersFile date
Garnet Health Medical Center Catskills Harris$3,3270.7×92026-04-01
Bronxcare Hospital Center Bronx$3,5140.7×42026-05-05
Columbia Memorial Hospital Hudson$3,7320.8×62025-12-31
Garnet Health Medical Center Middletown$4,2690.9×92026-04-01
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$4,4080.9×62026-09-05
Jacobi Medical Center Bronx$4,4080.9×62026-09-05
Elmhurst Hospital Center Elmhurst$4,4080.9×62026-09-05
South Brooklyn Health Brooklyn$4,4080.9×62026-09-05
Metropolitan Hospital Center New York$4,4080.9×62026-09-05
Kings County Hospital Center Brooklyn$4,4080.9×62026-09-05
Bellevue Hospital Center New York$4,4080.9×62026-09-05
Queens Hospital Center Jamaica$4,4080.9×62026-09-05
Harlem Hospital Center New York$4,4080.9×62026-09-05
Nassau University Medical Center East Meadow$4,5310.9×12025-10-28
Oneida Health Oneida$4,6120.9×72026-09-27
Samaritan Hospital Troy$4,7641.0×242026-03-31
St John'S Riverside Hospital Yonkers$4,8641.0×92026-03-27
Saratoga Hospital Saratoga Springs$4,8901.0×42025-12-31
Glens Falls Hospital Glens Falls$4,9611.0×62025-12-31
Wynn Hospital Utica$5,3271.1×152026-08-07
Erie County Medical Center Buffalo$5,4621.1×62026-08-25
Maimonides Medical Center Brooklyn$5,6981.2×72026-04-01
Stony Brook University Hospital Stony Brook$5,7831.2×52026-06-10
Samaritan Medical Center Watertown$6,2181.3×42026-02-02
Montefiore Mount Vernon Hospital Mount Vernon$6,6161.4×102026-04-01
Albany Medical Center Hospital Albany$6,6461.4×52025-12-31
Highland Hospital Rochester$7,0181.4×42026-07-01
Roswell Park Cancer Institute Buffalo$7,5411.5×32026-04-01
St Joseph'S Medical Center Yonkers$7,8771.6×12026-07-13
Strong Memorial Hospital Rochester$8,3861.7×42026-07-01
Jones Memorial Hospital Wellsville$8,3991.7×72026-01-01
Geneva General Hospital Geneva$8,6231.8×32026-08-27
Crouse Hospital Syracuse$8,7781.8×32026-05-19
Nicholas H Noyes Memorial Hospital Dansville$10,0142.0×62026-01-01
St James Hospital Hornell$11,4802.4×52026-01-01
Montefiore Medical Center Bronx$11,7122.4×132026-04-01
Medina Memorial Hospital Medina$12,3622.5×22026-07-29
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$13,3902.7×92026-01-01

Questions

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

38 New York 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 38 hospitals is $5,144, 1.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.