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

Posted commercial rates at 8 Texas 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
Ascension Seton Medical Center Austin Austin$2,9080.7×12026-01-01
Methodist Hospital San Antonio$3,6950.9×52026-09-01
Houston Methodist Hospital Houston$3,8491.0×62026-04-01
Baylor University Medical Center Dallas$4,3021.1×32026-06-29
Medical City Mckinney McKinney$5,3811.4×52026-09-01
Medical City Plano Plano$5,6401.4×52026-09-01
St David's Medical Center Austin$5,9261.5×52026-09-01
Texas Health Presbyterian Hospital Dallas Dallas$10,8182.8×22026-04-21

Questions

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

8 Texas 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 8 hospitals is $4,842, 1.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.