Price Checker / CPT 19020
How much does Mastotomy Expl Drg Absc Dp cost?
CPT 19020 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is about 2.3x the fair price. You have grounds to ask for a reduction.
Fair price
$2,350–$2,800
What this should cost
With insurance
~$2,600
Typical out-of-pocket
Overcharged if over
$3,500
Push back above this
The average hospital charge of $5,852 is $3,252 over the fair price (about 2.3x the fair rate).
What hospitals charge for Mastotomy Expl Drg Absc Dp
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| 23330 Emergency Center, LLC d/b/a/ Elite Hospital Kingwood Kingwood, TX | $8,088 | — | 1472% |
| Howard Memorial Hospital NASHVILLE, AR | $3,616 | — | 603% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Mastotomy Expl Drg Absc Dp
CPT code 19020 refers to mastotomy expl drg absc dp (billing description: "Mastotomy expl drg absc dp"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $316 in a facility (hospital or surgery center) and $514 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.