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

Breast reconstruction with a free tissue flap

CPT 19364the billing code this page is about

Rebuilding a breast using tissue detached from another part of the body and reconnected to chest blood vessels under a microscope.

Hospitals typically charge $5,110 cash for this outpatient procedure — the median across 190 hospitals that filed a usable cash price; the average of the middle 60% is $6,052. Most fall between $3,231 and $12,178 (20th–80th percentile).

Hospitals
190
States
40
Filings dated
Jun 2024 – 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 190 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
$1,980$3,986$5,110$9,569$31,391

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($1,980 vs $31,391).

How the prices are spread

$1,675 – $2,279: 13 hospitals$1,675$2,279 – $3,101: 14 hospitals$3,101 – $4,219: 15 hospitals$3,101$4,219 – $5,740: 55 hospitals$5,740 – $7,809: 25 hospitals$5,740$7,809 – $10,624: 14 hospitals$10,624 – $14,454: 17 hospitals$10,624$14,454 – $19,665: 5 hospitals$19,665 – $26,754: 2 hospitals$19,665$26,754 – $36,399: 12 hospitals$26,754median $5,110price bands are equal on a log scale
Hospitals per price band (172 of 190 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,675$2,27913
$2,279$3,10114
$3,101$4,21915
$4,219$5,74055
$5,740$7,80925
$7,809$10,62414
$10,624$14,45417
$14,454$19,6655
$19,665$26,7542
$26,754$36,39912

By state

The median cash price in each state, against the national median of $5,110.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 1 hospital 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: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 4 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: 8 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: 7 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: 9 hospitals filed a usable price — fewer than 10, so no figureMINew York: 7 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: no hospital in the corpus filed a usable priceMAOregon: median $4,976 across 10 hospitalsOR$4,976Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: 3 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: 4 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $12,178 across 13 hospitalsOH$12,178Pennsylvania: median $1,980 across 15 hospitalsPA$1,980New Jersey: median $5,110 across 20 hospitalsNJ$5,110Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $7,740 across 13 hospitalsCA$7,740Utah: no hospital in the corpus filed a usable priceUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 5 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: no hospital in the corpus filed a usable priceNMKansas: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: 1 hospital filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: no hospital in the corpus filed a usable priceSCOklahoma: median $4,451 across 10 hospitalsOK$4,451Louisiana: 5 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: 7 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 2 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $5,110. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Ohio OH13$12,178+138%$4,627 – $12,243
California CA13$7,740+51%$979 – $34,567
New Jersey NJ20$5,1100%$4,350 – $5,855
Oregon OR10$4,976−3%$4,976 – $6,509
Oklahoma OK10$4,451−13%$4,451 – $4,451
Pennsylvania PA15$1,980−61%$1,675 – $6,679
Michigan MI9not enough hospitals filed a usable price
Illinois IL8not enough hospitals filed a usable price
New York NY7not enough hospitals filed a usable price
Texas TX7not enough hospitals filed a usable price
Wisconsin WI7not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Louisiana LA5not enough hospitals filed a usable price
Virginia VA5not enough hospitals filed a usable price
Indiana IN4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Minnesota MN4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Iowa IA3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Florida FL2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
Tennessee TN1not enough hospitals filed a usable price
Washington WA1not enough hospitals filed a usable price
Wyoming WY1not 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 $5,110.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care159$4,976$3,231 – $12,178
Children’s7fewer than 20 hospitals
Critical access23$6,509$2,820 – $14,443
Ownership
For-profit21$7,677$4,515 – $22,083
Government22$5,683$3,100 – $8,143
Non-profit146$4,976$3,190 – $12,178
System affiliation
Part of a system149$4,976$3,231 – $12,178
Independent41$5,726$4,145 – $12,125

Cash price vs list price

Median list price (chargemaster)$8,565
Median cash price$5,110
Cash as a share of list, median hospital62%

At the typical hospital, asking for the cash price cuts the list price by about 38%. 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

106 hospitals filed a usable inpatient cash price for this code. The median is $4,960 and the average of the middle 60% is $5,546; most fall between $3,408 and $9,569.

Cash price percentiles, inpatient, across 106 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
$2,684$4,370$4,960$8,081$14,750

The most expensive tenth of hospitals charges at least 5.5× what the cheapest tenth charges ($2,684 vs $14,750).

Of the 123 hospitals that filed this code inpatient, 106 gave a usable cash price; 12 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 5 a list price only.

How complete is this

190 of the 3,956 hospitals with a price file in our corpus (5%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 232 hospitals that filed this code at all gave us
Usable cash price — counted190
Cash price carrying a plausibility flag — shown on the compare tool, excluded here27
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded13
Hospitals that filed this code232

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • 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 Breast Reconstruction W/Free Flap.

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 free tissue flap (CPT 19364) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-19364-breast-reconstruction-with-a-free-tissue-flap