Price Checker / CPT 19300

CPT 19300Mastectomy for gynecomastia

2026 Medicare Physician Fee Schedule rates and hospital pricing data

Medicare Rate (Facility)

$426

What Medicare pays in a hospital/ASC setting

Medicare Rate (Office)

$637

What Medicare pays in a physician's office

Avg Hospital Charge

$14,495

Based on 8 hospital(s) in our database

What do these numbers mean?

The Medicare rateis what the federal government determines is a fair payment for this procedure. It's based on the Relative Value Unit (RVU) system, which accounts for physician work, practice expense, and malpractice cost. Hospitals and providers often charge 3-20x this amount. If your bill is significantly higher than the Medicare rate, you may have grounds to negotiate.

Hospital Charges for CPT 19300

From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.

HospitalGross ChargeCash Ratevs Medicare
The University of Kansas Health System Olathe Hospital/Olathe Medical Center

, KS

$52,0076673%
Jackson Purchase Medical Center

, KY

$30,6744713%
Baptist Health Medical Center-Arkadelphia

, AR

$8,849$2,2121289%
Baptist Health Medical Center-Heber Springs

, AR

$8,849$2,2121289%
Conemaugh Meyersdale Medical Center

, PA

$5,843817%
Crane Memorial Hospital

Crane, TX

$4,980603%
Coffey County Hospital

Burlington, KS

$3,856475%
Rawlins County Health Center

, KS

$904409%

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About CPT 19300

CPT code 19300 refers to “Mastectomy for gynecomastia”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $426 in a facility (hospital or ambulatory surgery center) and $637in a non-facility (physician's office) setting.

These rates are set by CMS (Centers for Medicare & Medicaid Services) and represent what the government considers a fair payment for this service. While commercial insurance typically pays somewhat more than Medicare, many hospitals charge significantly higher amounts — sometimes 10-50x the Medicare rate.

What to do if you were overcharged

  1. Upload your bill— we'll identify this code and compare it against the rates shown above.
  2. Get a dispute letter— citing the Medicare rate and your hospital's own published pricing data.
  3. Negotiate or let us handle it — 25% of savings, no savings = no fee.

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