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

Breast reconstruction with a tissue expander

CPT 19357the billing code this page is about

Placement of an expandable device under the skin or muscle to stretch tissue for later breast reconstruction, including the gradual fill-up visits that follow.

Hospitals typically charge $7,099 cash for this outpatient procedure — the median across 575 hospitals that filed a usable cash price; the average of the middle 60% is $8,959. Most fall between $2,591 and $21,009 (20th–80th percentile).

Hospitals
575
States
48
Filings dated
Mar 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 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 575 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
$1,815$2,954$7,099$19,258$30,202

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($1,815 vs $30,202).

How the prices are spread

$1,246 – $1,809: 29 hospitals$1,246$1,809 – $2,625: 71 hospitals$2,625 – $3,809: 56 hospitals$2,625$3,809 – $5,528: 68 hospitals$5,528 – $8,022: 47 hospitals$5,528$8,022 – $11,643: 44 hospitals$11,643 – $16,896: 67 hospitals$11,643$16,896 – $24,521: 77 hospitals$24,521 – $35,586: 39 hospitals$24,521$35,586 – $51,644: 22 hospitals$35,586median $7,099price bands are equal on a log scale
Hospitals per price band (520 of 575 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,246$1,80929
$1,809$2,62571
$2,625$3,80956
$3,809$5,52868
$5,528$8,02247
$8,022$11,64344
$11,643$16,89667
$16,896$24,52177
$24,521$35,58639
$35,586$51,64422

Against Medicare

Medicare pays (OPPS 2026, national rate)$14,079
Median cash price$7,099
Cash as a multiple of Medicare0.50×

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 $7,099.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 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: median $3,980 across 11 hospitalsWA$3,980Idaho: 9 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $9,186 across 20 hospitalsMN$9,186Illinois: median $2,170 across 16 hospitalsIL$2,170Wisconsin: median $5,845 across 29 hospitalsWI$5,845Michigan: median $2,615 across 36 hospitalsMI$2,615New York: median $16,358 across 50 hospitalsNY$16,358Massachusetts: 5 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $2,794 across 14 hospitalsOR$2,794Nevada: 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: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $3,711 across 21 hospitalsIA$3,711Indiana: median $13,609 across 11 hospitalsIN$13,609Ohio: median $9,921 across 26 hospitalsOH$9,921Pennsylvania: median $4,490 across 26 hospitalsPA$4,490New Jersey: median $17,830 across 34 hospitalsNJ$17,830Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $11,721 across 55 hospitalsCA$11,721Utah: no hospital in the corpus filed a usable priceUTColorado: 7 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $2,508 across 11 hospitalsMO$2,508Kentucky: 6 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $6,353 across 11 hospitalsWV$6,353Virginia: median $7,029 across 12 hospitalsVA$7,029Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $2,846 across 10 hospitalsTN$2,846North Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $2,415 across 12 hospitalsOK$2,415Louisiana: 8 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $7,099 across 10 hospitalsAL$7,099Georgia: median $21,009 across 19 hospitalsGA$21,009Hawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $8,978 across 25 hospitalsTX$8,978Florida: median $45,916 across 10 hospitalsFL$45,916
Cash price by state, most expensive first. National median $7,099. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL10$45,916+547%$4,245 – $47,819
Georgia GA19$21,009+196%$11,148 – $21,009
New Jersey NJ34$17,830+151%$4,881 – $22,776
New York NY50$16,358+130%$2,493 – $26,035
Indiana IN11$13,609+92%$1,562 – $27,000
California CA55$11,721+65%$4,414 – $11,973
Ohio OH26$9,921+40%$3,751 – $73,353
Minnesota MN20$9,186+29%$4,918 – $9,186
Texas TX25$8,978+26%$5,156 – $9,111
Alabama AL10$7,0990%$3,185 – $28,714
Virginia VA12$7,029−1%$771 – $29,412
West Virginia WV11$6,353−11%$4,019 – $8,554
Wisconsin WI29$5,845−18%$4,038 – $11,998
Pennsylvania PA26$4,490−37%$750 – $32,785
Washington WA11$3,980−44%$2,143 – $17,123
Iowa IA21$3,711−48%$3,666 – $3,976
Tennessee TN10$2,846−60%$1,528 – $13,710
Oregon OR14$2,794−61%$2,143 – $3,385
Michigan MI36$2,615−63%$2,615 – $18,949
Missouri MO11$2,508−65%$2,340 – $51,644
Oklahoma OK12$2,415−66%$2,415 – $2,415
Illinois IL16$2,170−69%$1,562 – $5,577
Idaho ID9not enough hospitals filed a usable price
Louisiana LA8not enough hospitals filed a usable price
Colorado CO7not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
Kentucky KY6not enough hospitals filed a usable price
South Carolina SC6not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Massachusetts MA5not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
North Carolina NC5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
South Dakota SD1not 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 $7,099.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care492$8,978$2,596 – $22,776
Children’s10fewer than 20 hospitals
Critical access71$4,432$2,615 – $9,186
Ownership
For-profit59$12,795$2,643 – $27,780
Government74$4,475$2,115 – $20,589
Non-profit440$7,029$2,615 – $21,009
System affiliation
Part of a system461$8,978$2,615 – $21,907
Independent114$4,432$2,363 – $17,056

Cash price vs list price

Median list price (chargemaster)$7,800
Median cash price$7,099
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. 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

279 hospitals filed a usable inpatient cash price for this code. The median is $4,238 and the average of the middle 60% is $6,059; most fall between $2,094 and $11,973.

Cash price percentiles, inpatient, across 279 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
$1,370$2,216$4,238$11,721$21,009

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($1,370 vs $21,009).

Of the 307 hospitals that filed this code inpatient, 279 gave a usable cash price; 16 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 12 a list price only.

How complete is this

575 of the 3,956 hospitals with a price file in our corpus (15%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 635 hospitals that filed this code at all gave us
Usable cash price — counted575
Cash price carrying a plausibility flag — shown on the compare tool, excluded here40
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded8
A list price only, no cash figure — excluded12
Hospitals that filed this code635

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 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 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 Tissue Expander Placement Breast Reconstruction.

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, “Breast reconstruction with a tissue expander (CPT 19357) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-19357-breast-reconstruction-with-a-tissue-expander