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

Posted commercial rates at 7 Ohio hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 38525

HospitalMedian across insurers× MedicareInsurersFile date
University Hospitals - Elyria Medical Center Elyria$3,2560.9×32026-07-14
Medina Hospital Medina$5,5531.5×32026-06-15
Bethesda North Cincinnati$5,7581.5×42026-04-01
Cleveland Clinic (main campus) Cleveland$6,2381.7×32026-06-16
Cleveland Clinic Hillcrest Hospital Mayfield Heights$7,9562.1×22026-06-15
Cleveland Clinic Lutheran Hospital Cleveland$8,0192.2×12026-06-15
Mount Carmel New Albany Surgical Hospital New Albany$23,8836.3×202026-03-31

Questions

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

7 Ohio 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 7 hospitals is $6,238, 1.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.