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

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

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CPT 38525

HospitalMedian across insurers× MedicareInsurersFile date
Stony Brook University Hospital Stony Brook$5,7831.2×52026-06-10
Montefiore Medical Center Bronx$7,0841.4×82026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$13,5862.8×72026-01-01

Questions

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

3 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 3 hospitals is $7,084, 1.4× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.