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Procedure price report · Other OR therapeutic procedures on skin and breast

Removal of an abnormal milk duct tunnel in the breast

CPT 19112the billing code this page is about

Surgical removal of a fistula, an abnormal channel that has formed between a milk duct and the skin surface of the breast.

Hospitals typically charge $1,591 cash for this outpatient procedure — the median across 317 hospitals that filed a usable cash price; the average of the middle 60% is $2,270. Most fall between $572 and $4,895 (20th–80th percentile).

Hospitals
317
States
41
Filings dated
Mar 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 317 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$446$684$1,591$4,531$8,114

The most expensive tenth of hospitals charges at least 18× what the cheapest tenth charges ($446 vs $8,114).

How the prices are spread

$240 – $341: 7 hospitals$240$341 – $485: 15 hospitals$485 – $690: 44 hospitals$485$690 – $981: 36 hospitals$981 – $1,396: 38 hospitals$981$1,396 – $1,984: 9 hospitals$1,984 – $2,822: 14 hospitals$1,984$2,822 – $4,013: 37 hospitals$4,013 – $5,706: 54 hospitals$4,013$5,706 – $8,114: 35 hospitals$5,706median $1,591price bands are equal on a log scale
Hospitals per price band (289 of 317 — the bands cover the 5th to 95th percentile)
FromToHospitals
$240$3417
$341$48515
$485$69044
$690$98136
$981$1,39638
$1,396$1,9849
$1,984$2,82214
$2,822$4,01337
$4,013$5,70654
$5,706$8,11435

Against Medicare

Medicare pays (OPPS 2026, national rate)$4,000
Median cash price$1,591
Cash as a multiple of Medicare0.40×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $1,591.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 7 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 5 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $659 across 13 hospitalsIL$659Wisconsin: median $2,875 across 14 hospitalsWI$2,875Michigan: median $2,698 across 15 hospitalsMI$2,698New York: median $4,531 across 24 hospitalsNY$4,531Massachusetts: 2 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $830 across 11 hospitalsOR$830Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $1,118 across 18 hospitalsIA$1,118Indiana: 7 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $991 across 12 hospitalsOH$991Pennsylvania: median $626 across 21 hospitalsPA$626New Jersey: median $4,510 across 22 hospitalsNJ$4,510Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $8,114 across 26 hospitalsCA$8,114Utah: no hospital in the corpus filed a usable priceUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 5 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 5 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 6 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $530 across 12 hospitalsOK$530Louisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: 1 hospital filed a usable price — fewer than 10, so no figureGAHawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $3,847 across 19 hospitalsTX$3,847Florida: 7 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $1,591. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA26$8,114+410%$8,114 – $8,114
New York NY24$4,531+185%$789 – $4,531
New Jersey NJ22$4,510+183%$4,238 – $5,419
Texas TX19$3,847+142%$3,847 – $3,847
Wisconsin WI14$2,875+81%$2,821 – $4,155
Michigan MI15$2,698+70%$613 – $5,384
Iowa IA18$1,118−30%$1,118 – $1,237
Ohio OH12$991−38%$692 – $2,348
Oregon OR11$830−48%$830 – $1,116
Illinois IL13$659−59%$572 – $1,118
Pennsylvania PA21$626−61%$210 – $5,946
Oklahoma OK12$530−67%$530 – $530
Florida FL7not enough hospitals filed a usable price
Indiana IN7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Washington WA7not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Virginia VA6not enough hospitals filed a usable price
Minnesota MN5not enough hospitals filed a usable price
Missouri MO5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
West Virginia WV5not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
Massachusetts MA2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Georgia GA1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $1,591.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care258$2,698$590 – $5,384
Children’s3fewer than 20 hospitals
Critical access55$1,116$572 – $3,847
Ownership
For-profit29$2,765$572 – $5,649
Government53$1,352$654 – $4,531
Non-profit234$1,898$572 – $5,339
System affiliation
Part of a system253$2,821$572 – $5,110
Independent64$1,023$547 – $3,963

Cash price vs list price

Median list price (chargemaster)$1,453
Median cash price$1,591
Cash as a share of list, median hospital63%

At the typical hospital, asking for the cash price cuts the list price by about 37%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

179 hospitals filed a usable inpatient cash price for this code. The median is $1,095 and the average of the middle 60% is $1,683; most fall between $530 and $6,474.

Cash price percentiles, inpatient, across 179 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$446$572$1,095$3,936$8,114

The most expensive tenth of hospitals charges at least 18× what the cheapest tenth charges ($446 vs $8,114).

Of the 203 hospitals that filed this code inpatient, 179 gave a usable cash price; 17 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 7 a list price only.

How complete is this

317 of the 3,956 hospitals with a price file in our corpus (8%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 360 hospitals that filed this code at all gave us
Usable cash price — counted317
Cash price carrying a plausibility flag — shown on the compare tool, excluded here36
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded6
Hospitals that filed this code360

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 23, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other OR therapeutic procedures on skin and breast family.

Hospitals file this code under descriptions such as PR Excise Breast Duct Fistula.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Removal of an abnormal milk duct tunnel in the breast (CPT 19112) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-19112-removal-of-an-abnormal-milk-duct-tunnel-in-the-breast