Price Checker / CPT 19350
How much does Nipple/areola Reconstruction cost?
CPT 19350 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 73x the fair price — among the most extreme markups. Dispute this.
Fair price
$1,350–$2,700
What this should cost
With insurance
~$3,400
Typical out-of-pocket
Overcharged if over
$3,400
Push back above this
The average hospital charge of $149,604 is $147,554 over the fair price (about 73x the fair rate).
What hospitals charge for Nipple/areola Reconstruction
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| ST MARY'S HOSPITAL Richmond, VA | $267,930 | — | 15839% |
| Jackson Purchase Medical Center MAYFIELD, KY | $31,278 | — | 3399% |
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 Nipple/areola Reconstruction
CPT code 19350 refers to nipple/areola reconstruction (billing description: "Nipple/areola reconstruction"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $616 in a facility (hospital or surgery center) and $894 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.