Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
REMOVAL OF EXTRA BREAST TISSUE IN MALE
Low
$1
Average
$848
Median
$458
High
$2.5k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
43 hospitals; the 90th percentile is 42.0× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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58 hospital rates
iThe hospitals that file a Medicaid rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 2 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 3 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $458 | $458 | — | — | — | $458 – $458 |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $349 | $349 | — | — | — | $349 – $349 |
| 5 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 1 | $207 | $207 | $41 | 20% | — | $166 – $249 |
| 6 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $207 | $207 | $41 | 20% | — | $166 – $249 |
| 7 | Chapman Global Medical Center Orange, CA facility · fee schedule · outpatient | 1 | $458 | $458 | — | — | — | $458 – $458 |
| 8 | Childrens Hospital of Los Angeles Angeles, CA facility · other · outpatient | 2 | $458 | $458 | — | — | — | $458 – $458 |
| 9 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $860 | $860 | — | — | — | $860 – $860 |
| 10 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · fee schedule · outpatient | 1 | $445 | $445 | — | — | — | $445 – $445 |
| 11 | Dupont Hospital LLC Wayne, IN facility · other · outpatient | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 12 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $294 | $294 | — | — | — | $294 – $294 |
| 13 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 14 | Geisinger Medical Center Muncy, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 15 | Granbury Hospital Corporation Granbury, TX facility · fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 16 | HANFORD COMMUNITY HOSPITAL Selma, CA fee schedule · outpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 17 | Holy Cross Hospital-Silver Spring Silver Spring, MD professional · percent of total billed charges · bothfrom % of charges | 1 | $1.5k | $1.5k | $486 | 33% | — | $971 – $1.9k |
| 18 | Holyoke Medical Center Holyoke, MA facility · fee schedule · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 19 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $2.5k | $2.5k | $306 | 12% | — | $2.2k – $2.9k |
| 20 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $860 | $860 | — | — | — | $860 – $860 |
| 21 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL professional · fee schedule · outpatient | 1 | $445 | $445 | — | — | — | $445 – $445 |
| 22 | IOM Health System LP Fort Wayne, IN facility · other · outpatient | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 23 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 24 | Longview Medical Center LP Longview, TX facility · fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 25 | Mercy Hospital Ozark Ozark, AR facility · case rate · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
← Payers reporting CPT 19300 · Snapshot 20261112T181611Z-3fa9fb76