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

Posted commercial rates at 37 Wisconsin 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
Thedacare Medical Center - Wild Rose Inc Wild Rose$1,9300.5×12026-08-08
Stoughton Hospital Stoughton$3,0040.8×12026-06-11
Watertown Regional Medical Center Watertown$3,6090.9×12026-04-01
Orthopaedic Hospital Of Wisconsin Glendale$4,8121.2×32026-01-01
Marshfield Medical Center - Beaver Dam Beaver Dam$5,3881.4×12026-02-20
Gundersen St Josephs Hospital And Clinics Hillsboro$5,7871.5×22026-06-27
Unitypoint Health - Meriter Madison$6,0261.6×12026-01-28
Froedtert Holy Family Memorial Hospital Manitowoc$6,0411.6×32025-12-31
Marshfield Medical Center - Rice Lake Rice Lake$6,4001.7×32026-02-20
Marshfield Medical Center - Eau Claire Eau Claire$6,4001.6×32026-02-20
Marshfield Medical Center - Minocqua Minocqua$6,4001.7×32026-02-20
Froedtert Menomonee Falls Hospital Menomonee Falls$6,6851.7×42025-12-31
Marshfield Medical Center Marshfield$6,7661.8×12026-02-20
Marshfield Medical Center - Weston Weston$7,0431.9×22026-02-20
Froedtert Community Hospital New Berlin$7,3141.9×42025-12-31
Gundersen Lutheran Medical Center La Crosse$7,5131.9×32026-06-27
Froedtert West Bend Hospital West Bend$7,7262.0×42025-12-31
Aurora Medical Ctr Manitowoc County Two Rivers$8,5702.3×142025-11-21
Aurora Medical Center Sheboygan County Sheboygan$8,5702.3×142025-11-21
Aurora Medical Ctr Washington County Hartford$8,5702.2×142025-11-21
Aurora Medical Center Burlington Burlington$8,5702.2×142025-11-21
Aurora Lakeland Medical Center Elkhorn$8,5702.3×142025-11-21
Aurora Medical Center Bay Area Marinette$8,5702.3×142025-11-21
Aurora West Allis Medical Center West Allis$8,5702.2×142025-11-21
Aurora Medical Ctr Kenosha Kenosha$8,5702.3×142025-11-21
Aurora Baycare Medical Ctr Green Bay$8,5702.3×142025-11-21
Aurora Medical Ctr Oshkosh Oshkosh$8,5702.3×142025-11-21
Aurora Medical Center Summit Summit$8,5702.2×142025-11-21
Aurora Medical Center Grafton$8,5702.2×142025-11-21
Westfields Hospital And Clinic New Richmond$9,5032.3×12026-03-31
Aspirus Divine Savior Hospital Portage$10,1322.7×42026-04-01
Bellin Memorial Hospital Green Bay$10,8002.8×42026-06-27
Aspirus Wausau Hospital Wausau$11,8393.1×22026-04-01
Aspirus Stevens Point Hospital Stevens Point$14,2403.7×22026-04-01
Aspirus Rhinelander Hospital Rhinelander$14,2403.7×22026-04-01
Aspirus Wisconsin Rapids Hospital Wisconsin Rapids$14,2403.7×22026-04-01
Howard Young Medical Ctr Woodruff$14,2403.7×22026-04-01

Questions

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

37 Wisconsin 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 37 hospitals is $8,570, 2.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.