Price Checker / CPT 19318
How much does Breast Reduction cost?
CPT 19318 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 27x the fair price — among the most extreme markups. Dispute this.
Fair price
$1,450–$2,950
What this should cost
With insurance
~$4,150
Typical out-of-pocket
Overcharged if over
$3,700
Push back above this
The average hospital charge of $58,848 is $56,648 over the fair price (about 27x the fair rate).
What hospitals charge for Breast Reduction
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Riverview Regional Medical Center GADSDEN, AL | $132,157 | — | 12707% |
| Jackson Purchase Medical Center MAYFIELD, KY | $44,474 | — | 4437% |
| Haywood Regional Medical Center CLYDE, NC | $40,253 | — | 4006% |
| Tanner Medical Center/Villa Rica Villa Rica, GA | $42,751 | — | 3956% |
| Doylestown Health , PA | $34,604 | — | 2547% |
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 Breast Reduction
CPT code 19318 refers to breast reduction (billing description: "Breast reduction"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $980 in a facility (hospital or surgery center) and $980 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.