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
PR Mastectomy Partial|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES
Silver Spring, MD
See all hospitals reporting CPT 19301 →Price type
Holy Cross Hospital-Silver Spring’s median price of $1.5k is 64% below the median hospital's median price ($4.0k), higher than 18% of the 1,989 hospitals reporting CPT 19301. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 34 payers, 111 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna aetna medicare advantage professional · fee schedule · both | $212 | $232 | $177 | 77% | — | $55 – $514 |
| 2 | Humana tricare professional · fee schedule · both | $216 | $236 | $180 | 77% | — | $56 – $522 |
| 3 | Tricare tricare professional · fee schedule · both | $216 | $236 | $180 | 77% | — | $56 – $522 |
| 4 | Aetna aetna medicare advantage professional · fee schedule · outpatient | $284 | $284 | $229 | 81% | — | $55 – $514 |
| 5 | Humana tricare professional · fee schedule · outpatient | $289 | $289 | $233 | 81% | — | $56 – $522 |
| 6 | Tricare tricare professional · fee schedule · outpatient | $289 | $289 | $233 | 81% | — | $56 – $522 |
| 7 | Aetna aetna professional · fee schedule · both | $310 | $338 | $259 | 77% | — | $80 – $750 |
| 8 | Aetna aetna medicare advantage professional · fee schedule · inpatient | $342 | $342 | — | — | — | $342 – $342 |
| 9 | Humana tricare professional · fee schedule · inpatient | $348 | $348 | — | — | — | $348 – $348 |
| 10 | Tricare tricare professional · fee schedule · inpatient | $348 | $348 | — | — | — | $348 – $348 |
| 11 | Aetna aetna professional · fee schedule · outpatient | $415 | $415 | $335 | 81% | — | $80 – $750 |
| 12 | Aetna aetna professional · fee schedule · inpatient | $500 | $500 | — | — | — | $500 – $500 |
| 13 | Aetna pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $958 | $1.1k | $949 | 85% | — | $232 – $2.9k |
| 14 | Ambetter pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $958 | $1.1k | $949 | 85% | — | $232 – $2.9k |
| 15 | Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $958 | $1.1k | $949 | 85% | — | $232 – $2.9k |
| 16 | Anthem pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $958 | $1.1k | $949 | 85% | — | $232 – $2.9k |
| 17 | Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $958 | $1.1k | $949 | 85% | — | $232 – $2.9k |
| 18 | Carefirst pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $958 | $1.1k | $949 | 85% | — | $232 – $2.9k |
| 19 | Caresource pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $958 | $1.1k | $949 | 85% | — | $232 – $2.9k |
| 20 | Cigna pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $958 | $1.1k | $949 | 85% | — | $232 – $2.9k |
| 21 | Clover pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $958 | $1.1k | $949 | 85% | — | $232 – $2.9k |
| 22 | Devoted pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $958 | $1.1k | $949 | 85% | — | $232 – $2.9k |
| 23 | Excellus pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $958 | $1.1k | $949 | 85% | — | $232 – $2.9k |
| 24 | First Health pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $958 | $1.1k | $949 | 85% | — | $232 – $2.9k |
| 25 | Highmark pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $958 | $1.1k | $949 | 85% | — | $232 – $2.9k |
Last updated: Mar 31, 2026
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