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

Unlisted procedure on the breast

CPT 19499the billing code this page is about

Used for a breast procedure that does not have its own billing code; the operative report describes what was actually done.

Hospitals typically charge $3,000 cash for this outpatient procedure — the median across 701 hospitals that filed a usable cash price; the average of the middle 60% is $3,162. Most fall between $1,252 and $5,384 (20th–80th percentile).

Hospitals
701
States
46
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 701 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
$825$1,660$3,000$4,686$6,990

The most expensive tenth of hospitals charges at least 8.5× what the cheapest tenth charges ($825 vs $6,990).

How the prices are spread

$427 – $583: 8 hospitals$427$583 – $795: 25 hospitals$795 – $1,084: 51 hospitals$795$1,084 – $1,479: 42 hospitals$1,479 – $2,018: 60 hospitals$1,479$2,018 – $2,753: 100 hospitals$2,753 – $3,755: 82 hospitals$2,753$3,755 – $5,123: 143 hospitals$5,123 – $6,988: 81 hospitals$5,123$6,988 – $9,532: 43 hospitals$6,988median $3,000price bands are equal on a log scale
Hospitals per price band (635 of 701 — the bands cover the 5th to 95th percentile)
FromToHospitals
$427$5838
$583$79525
$795$1,08451
$1,084$1,47942
$1,479$2,01860
$2,018$2,753100
$2,753$3,75582
$3,755$5,123143
$5,123$6,98881
$6,988$9,53243

Against Medicare

Medicare pays (OPPS 2026, national rate)$4,000
Median cash price$3,000
Cash as a multiple of Medicare0.75×

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 $3,000.

Alaska: no hospital in the corpus filed a usable priceAKMaine: 5 hospitals filed a usable price — fewer than 10, so no figureMEVermont: no hospital in the corpus filed a usable priceVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $2,166 across 10 hospitalsWA$2,166Idaho: 4 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,206 across 24 hospitalsMN$1,206Illinois: median $2,288 across 35 hospitalsIL$2,288Wisconsin: median $1,060 across 32 hospitalsWI$1,060Michigan: median $2,798 across 13 hospitalsMI$2,798New York: median $4,531 across 33 hospitalsNY$4,531Massachusetts: 9 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 8 hospitals filed a usable price — fewer than 10, so no figureORNevada: no hospital in the corpus filed a usable priceNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $1,464 across 11 hospitalsIA$1,464Indiana: median $1,309 across 21 hospitalsIN$1,309Ohio: median $3,900 across 16 hospitalsOH$3,900Pennsylvania: median $4,815 across 42 hospitalsPA$4,815New Jersey: median $5,066 across 38 hospitalsNJ$5,066Connecticut: 7 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,402 across 65 hospitalsCA$2,402Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $3,546 across 23 hospitalsCO$3,546Nebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $972 across 20 hospitalsMO$972Kentucky: median $5,120 across 11 hospitalsKY$5,120West Virginia: 7 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $4,686 across 20 hospitalsVA$4,686Maryland: no hospital in the corpus filed a usable priceMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 7 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 7 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $1,113 across 12 hospitalsTN$1,113North Carolina: median $2,575 across 21 hospitalsNC$2,575South Carolina: 7 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: 7 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: median $1,691 across 11 hospitalsLA$1,691Mississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 8 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $6,341 across 26 hospitalsGA$6,341Hawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,850 across 59 hospitalsTX$2,850Florida: median $3,393 across 34 hospitalsFL$3,393
Cash price by state, most expensive first. National median $3,000. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA26$6,341+111%$3,306 – $6,990
Kentucky KY11$5,120+71%$2,174 – $6,088
New Jersey NJ38$5,066+69%$4,238 – $9,532
Pennsylvania PA42$4,815+60%$2,223 – $6,696
Virginia VA20$4,686+56%$1,767 – $6,175
New York NY33$4,531+51%$4,018 – $5,545
Ohio OH16$3,900+30%$3,026 – $6,090
Colorado CO23$3,546+18%$2,356 – $10,020
Florida FL34$3,393+13%$2,216 – $4,296
Texas TX59$2,850−5%$2,115 – $3,799
Michigan MI13$2,798−7%$1,816 – $5,384
North Carolina NC21$2,575−14%$1,363 – $2,575
California CA65$2,402−20%$1,866 – $5,225
Illinois IL35$2,288−24%$825 – $4,390
Washington WA10$2,166−28%$1,721 – $4,101
Louisiana LA11$1,691−44%$946 – $3,017
Iowa IA11$1,464−51%$655 – $5,741
Indiana IN21$1,309−56%$869 – $2,590
Minnesota MN24$1,206−60%$159 – $2,211
Tennessee TN12$1,113−63%$1,113 – $1,252
Wisconsin WI32$1,060−65%$870 – $3,488
Missouri MO20$972−68%$142 – $3,902
Massachusetts MA9not enough hospitals filed a usable price
Alabama AL8not enough hospitals filed a usable price
Oregon OR8not enough hospitals filed a usable price
Arizona AZ7not enough hospitals filed a usable price
Connecticut CT7not enough hospitals filed a usable price
Kansas KS7not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
Oklahoma OK7not enough hospitals filed a usable price
South Carolina SC7not enough hospitals filed a usable price
South Dakota SD7not enough hospitals filed a usable price
West Virginia WV7not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Maine ME5not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
Idaho ID4not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Utah UT3not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
Wyoming WY2not 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 $3,000.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care631$3,197$1,464 – $5,580
Children’s3fewer than 20 hospitals
Critical access64$1,556$825 – $3,936
Ownership
For-profit68$3,745$1,654 – $6,341
Government88$2,575$1,113 – $4,531
Non-profit542$2,889$1,309 – $5,580
System affiliation
Part of a system617$3,000$1,295 – $5,258
Independent84$2,839$814 – $5,990

Cash price vs list price

Median list price (chargemaster)$4,747
Median cash price$3,000
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

500 hospitals filed a usable inpatient cash price for this code. The median is $2,850 and the average of the middle 60% is $3,108; most fall between $1,438 and $5,557.

Cash price percentiles, inpatient, across 500 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
$854$1,756$2,850$4,686$6,990

The most expensive tenth of hospitals charges at least 8.2× what the cheapest tenth charges ($854 vs $6,990).

Of the 542 hospitals that filed this code inpatient, 500 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 26 a list price only.

How complete is this

701 of the 3,956 hospitals with a price file in our corpus (18%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 787 hospitals that filed this code at all gave us
Usable cash price — counted701
Cash price carrying a plausibility flag — shown on the compare tool, excluded here43
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded42
Hospitals that filed this code787

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 non-OR therapeutic procedures on skin and breast family.

Hospitals file this code under descriptions such as Unlisted Procedure Breast.

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, “Unlisted procedure on the breast (CPT 19499) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-19499-unlisted-procedure-on-the-breast