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

Posted commercial rates at 15 Utah hospitals, each next to its own Medicare base rate.

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CPT 38525

HospitalMedian across insurers× MedicareInsurersFile date
Intermountain Health Logan Regional Hospital Logan$3,4040.9×22026-08-05
Mckay-Dee Hospital Ogden$3,4700.9×52026-08-05
Intermountain Health Cedar City Hospital Cedar City$3,4700.9×12026-08-05
Intermountain Health Primary Children'S Hospital Salt Lake City$3,4700.9×12026-08-05
Intermountain Health Utah Valley Hospital Provo$3,5760.9×32026-08-05
Lds Hospital Salt Lake City$3,5760.9×32026-08-05
Intermountain Health Park City Hospital Park City$3,5760.9×12026-08-05
Intermountain Health Heber Valley Hospital Heber City$3,5760.9×12026-08-05
Intermountain Medical Center Murray$3,6980.9×22026-08-05
Orem Community Hospital Orem$3,6980.9×22026-08-05
Intermountain Health Alta View Hospital Sandy$3,6980.9×22026-08-05
Intermountain Health Riverton Hospital Riverton$3,6980.9×22026-08-05
Intermountain Health Layton Hospital Layton$3,6980.9×22026-08-05
Intermountain Health Spanish Fork Hospital Spanish Fork$3,6980.9×22026-08-05
American Fork Hospital American Fork$3,8191.0×22026-08-05

Questions

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

15 Utah 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 15 hospitals is $3,576, 0.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.