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

Posted commercial rates at 5 Pennsylvania hospitals, each next to its own Medicare base rate.

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CPT 38525

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$3,4530.9×22026-04-01
Bryn Mawr Hospital Bryn Mawr$3,6400.9×22026-04-01
Upmc Presbyterian Shadyside Pittsburgh$4,3871.1×12026-03-06
Thomas Jefferson University Hospital Philadelphia$6,9931.7×32026-09-15
Lehigh Valley Hospital Allentown$8,5262.1×82026-07-01

Questions

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

5 Pennsylvania 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 5 hospitals is $4,387, 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.