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

Posted commercial rates at 5 Virginia 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
Henrico Doctors' Hospital Richmond$5,7081.5×52026-09-01
CJW Medical Center (Chippenham + Johnston-Willis) Richmond$6,0461.6×52026-09-01
Inova Alexandria Hospital Alexandria$6,1581.5×52026-04-01
Reston Hospital Center Reston$6,7261.7×52026-09-01
Stonesprings Hospital Center Dulles$6,7501.7×52026-09-01

Questions

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

5 Virginia 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 $6,158, 1.6× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.