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

Posted commercial rates at 62 Pennsylvania hospitals, each next to its own Medicare base rate.

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CPT 38525

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Cole Coudersport$2,1700.6×12026-03-06
St Mary Medical Center Langhorne$2,2130.6×202026-03-31
Upmc Passavant Pittsburgh$2,3920.6×12026-03-07
Nazareth Hospital Philadelphia$2,4170.6×192026-03-31
Upmc Northwest Seneca$3,0360.8×22026-03-06
Upmc East Monroeville$3,1120.8×22026-03-06
Upmc Altoona Altoona$3,1540.8×12026-03-06
St Luke'S Hospital - Upper Bucks Campus Quakertown$3,2590.8×32026-02-26
Jefferson Abington Hospital Abington$3,3160.9×52026-09-15
Magee Womens Hospital Of Upmc Health System Pittsburgh$3,3180.9×22026-03-06
Riddle Memorial Hospital Media$3,4530.9×22026-04-01
Holy Redeemer Hospital And Medical Center Meadowbrook$3,4640.9×52026-09-21
Upmc Hamot Erie$3,5880.9×32026-03-06
Paoli Hospital Paoli$3,5980.9×22026-04-01
Bryn Mawr Hospital Bryn Mawr$3,6400.9×22026-04-01
Lankenau Medical Center Wynnewood$3,6801.0×22026-04-01
Upmc Mercy Pittsburgh$3,8471.0×22026-03-06
Jefferson Lansdale Hospital Lansdale$3,8881.0×52026-09-15
Temple Health - Chestnut Hill Hospital Philadelphia$4,0231.0×52026-04-08
Wayne Memorial Hospital Honesdale$4,2051.1×12026-09-16
St Luke'S Miners Memorial Hospital Coaldale$4,3001.1×32026-02-27
Upmc Presbyterian Shadyside Pittsburgh$4,3871.1×12026-03-06
Upmc Somerset Somerset$4,5361.2×22026-03-06
Jefferson Einstein Montgomery Hospital East Norriton$4,5801.2×62026-09-15
Jefferson Health-Northeast Philadelphia$4,6601.2×62026-09-15
Temple University Hospital Philadelphia$5,1931.3×92026-04-13
Hospital Of The Fox Chase Cancer Center Philadelphia$5,3631.3×62026-04-08
Upmc Hanover Hanover$5,8531.5×32026-03-06
Upmc Carlisle Carlisle$5,8611.5×32026-03-06
Upmc Lititz Lititz$5,8851.5×32026-03-06
Wellspan York Hospital York$6,4201.7×32026-01-01
Upmc Washington Washington$6,5261.7×42026-03-06
Wellspan Evangelical Community Hospital Lewisburg$6,5871.7×62026-01-01
Saint Vincent Hospital Erie$6,8261.8×62026-04-14
Jefferson Hospital Jefferson Hills$6,9421.8×62026-04-14
Upmc Memorial York$7,0741.9×52026-03-06
Uniontown Hospital Uniontown$7,2621.9×42026-07-09
Thomas Jefferson University Hospital Philadelphia$7,6381.9×42026-09-15
Allegheny Valley Hospital Natrona$7,7762.0×62026-04-14
Canonsburg General Hospital Canonsburg$7,7962.0×62026-04-14
Grove City Hospital Grove City$7,8362.0×52026-04-14
Forbes Hospital Monroeville$8,0122.1×62026-04-14
St Luke'S Hospital Bethlehem Bethlehem$8,1952.1×32026-02-26
St Luke'S Hospital - Monroe Campus Stroudsburg$8,1952.1×32026-02-27
St Luke'S Hospital - Carbon Campus Lehighton$8,1952.1×32026-02-27
Ahn Wexford Hospital Wexford$8,3862.2×62026-04-14
Lehigh Valley Hospital Allentown$8,5262.1×82026-07-01
St Clair Hospital Pittsburgh$8,7512.3×72026-03-31
Geisinger St. Luke'S Hospital Orwigsburg$9,6122.5×22026-02-26
Allegheny General Hospital Pittsburgh$9,6382.5×62026-04-14
West Penn Hospital Pittsburgh$9,6842.5×62026-04-14
Wellspan Ephrata Community Hospital Ephrata$10,8322.8×22026-01-01
St Luke'S Hospital - Easton Campus Easton$12,7673.2×22026-02-26
Penn State Health Hampden Medical Center Enola$13,0843.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$13,2283.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$13,4333.5×12026-03-27
Lehigh Valley Hospital - Dickson City Dickson City$13,8443.6×82026-07-01
Lehigh Valley Hospital - Pocono East Stroudsburg$15,7064.1×82026-07-01
Lehigh Valley Hospital - Hazleton Hazleton$15,8134.2×82026-07-01
Penn State Health St. Joseph Reading$17,3154.3×12026-03-27
Lehigh Valley Hospital - Macungie Macungie$18,0124.5×82026-07-01
Wellspan Chambersburg Hospital Chambersburg$26,4596.7×22026-01-01

Questions

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

62 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 62 hospitals is $6,473, 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.