Price Checker / CPT 19301
How much does Partial Mastectomy cost?
CPT 19301 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 11x the fair price — among the most extreme markups. Dispute this.
Fair price
$950–$1,900
What this should cost
With insurance
~$3,300
Typical out-of-pocket
Overcharged if over
$2,400
Push back above this
The average hospital charge of $15,668 is $14,218 over the fair price (about 11x the fair rate).
What hospitals charge for Partial Mastectomy
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Starr Regional Medical Center , TN | $39,734 | — | 6181% |
| Monroe Hospital BLOOMINGTON, IN | $24,845 | $4,488 | 3827% |
| DEFIANCE HOSPITAL Defiance, OH | $31,307 | — | 3750% |
| Castleview Hospital PRICE, UT | $15,000 | — | 2271% |
| Jackson Park Hospital Chicago, IL | $11,632 | — | 1739% |
| Copley Hospital MORRISVILLE, VT | $1,491 | — | 1622% |
| Warren General Hospital WARREN, PA | $6,396 | — | 1618% |
| Coffey County Hospital Burlington, KS | $5,472 | — | 785% |
| Chambers Health Anahuac, TX | $5,129 | — | 549% |
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 Partial Mastectomy
CPT code 19301 refers to partial mastectomy (billing description: "Partial mastectomy"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $633 in a facility (hospital or surgery center) and $633 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.