Breast reduction Cost by Hospital

Breast reduction is a surgical procedure. Prices are from 1330 US hospitals across 51 states, from their machine-readable files.

$7,368median cash price · 1330 hospitals, 51 statestypically $1,712–$25,950 depending on the hospital
≈ 7.5× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$11,286
Cash / self-pay
$7,368
Insurer-negotiated
$6,627
Medicare pays
$980
$1,712$25,950
Median cash $7,368  ·  Medicare $980  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $7,368 — about 7.5× the Medicare rate ($980). High vs Medicare. A fair cash price is usually within ~2× Medicare ($1,961).

💡 Asking for the cash price instead of the $11,286 list price could save about $3,918 (35%).

Estimate what you’ll pay
Quick fill:

Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Braxton County Memorial Hospital, Inc Gassaway, WV $1,118 — — 102 min 15.0%
Potomac Valley Hospital Keyser, WV $1,118 — ★ 1/5 118 min 15.5%
St Joseph's Hospital of Buckhannon, Inc Buckhannon, WV $1,118 — ★ 3/5 142 min 16.4%
Jackson General Hospital Ripley, WV $1,149 — ★ 3/5 133 min 14.8%
Summersville Regional Medical Center Summersville, WV $1,149 — ★ 2/5 140 min 15.1%
Vanderbilt Bedford Hospital Shelbyville, TN $1,156 $1,823 ★ 4/5 123 min 13.6%
Vanderbilt Tullahoma-Harton Hospital Tullahoma, TN $1,156 $1,849 ★ 3/5 173 min 15.1%
Harrison Community Hospital Cadiz, OH $1,188 — — 84 min 15.2%
Barnesville Hospital Association, Inc Barnesville, OH $1,188 $4,513 — 113 min 15.0%
Hospital Pavia Caguas Caguas, PR $1,200 $630 — — 17.1%
North Central Surgical Center Llp Dallas, TX $1,355 $7,024 — 107 min 14.2%
Family Health West Hospital Fruita, CO $1,408 $11,878 — — 15.2%
Holzer Medical Center Jackson Jackson, OH $1,471 $2,177 ★ 3/5 142 min 15.0%
Ste Genevieve County Memorial Hospital Sainte Genevieve, MO $1,512 $1,020 ★ 4/5 111 min 14.5%
South Central Reg Med Ctr Laurel, MS $1,544 $2,168 ★ 1/5 129 min 16.9%
Bronson Methodist Hospital Kalamazoo, MI $1,550 $3,580 ★ 4/5 230 min 15.1%
Bronson Battle Creek Hospital Battle Creek, MI $1,550 $6,201 ★ 3/5 192 min 15.4%
Bronson South Haven Hospital South Haven, MI $1,550 $1,938 — 138 min 15.3%
Battle Creek VA Medical Center Battle Creek, MI $1,550 $6,201 — — —
Bronson Lakeview Hospital Paw Paw, MI $1,550 $1,589 ★ 5/5 151 min 14.8%
Ellis Hospital Schenectady, NY $1,554 $1,132 ★ 3/5 232 min 14.9%
Alice Peck Day Memorial Hospital Lebanon, NH $1,571 $2,253 ★ 4/5 120 min 15.3%
Tops Surgical Specialty Hospital Houston, TX $1,582 $2,777 — — 14.4%
Red Bud Regional Hospital Red Bud, IL $1,645 $2,820 ★ 4/5 121 min 15.6%
Deaconess Hospital Inc Evansville, IN $1,645 $1,382 ★ 2/5 189 min 15.3%

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated August 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

What insurers pay for Breast reduction

Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $7,368; Medicare pays $980.

InsurerHospitalsNegotiated median
Medicaid 129
$353
$75 – $954
Medicare 229
$484
$81 – $2,483
Tricare / VA 149
$684
$89 – $6,749
Highmark 79
$761
$105 – $8,877
Health Net 117
$836
$93 – $12,648
Univera 11
$886
$117 – $1,166
Blue Cross Blue Shield 713
$920
$122 – $12,988
MVP Health Care 54
$949
$170 – $7,877
AmeriHealth 122
$1,086
$217 – $9,094
Geisinger 31
$1,086
$217 – $7,048
Independent Health 17
$1,101
$547 – $2,746
Centene / Ambetter 478
$1,158
$85 – $9,878
Anthem 335
$1,225
$122 – $13,959
Kaiser Permanente 135
$1,400
$105 – $19,242
Coventry 45
$1,471
$270 – $8,481
Priority Health 37
$1,511
$386 – $6,775
Molina Healthcare 374
$1,676
$116 – $7,180
MultiPlan / PHCS network 193
$1,901
$162 – $10,457
Amerigroup 113
$1,937
$762 – $6,585
Bright Health 37
$2,007
$1,471 – $5,466
Sanford Health Plan 27
$2,017
$501 – $10,849
Workers' Comp / No-Fault 33
$2,025
$2,025 – $10,034
HealthPartners 90
$2,060
$191 – $8,751
Harvard Pilgrim 28
$2,412
$386 – $9,969
UCare 34
$2,779
$752 – $7,022
Medica 53
$3,454
$784 – $6,881
Humana 585
$4,100
$386 – $17,832
UPMC Health Plan 51
$4,232
$772 – $15,281
Security Health Plan 24
$4,652
$772 – $13,077
Aetna 786
$4,824
$484 – $12,237
SelectHealth 33
$5,307
$772 – $11,245
UnitedHealthcare 855
$5,948
$581 – $13,480
Devoted Health 102
$6,554
$4,280 – $7,736
Cigna 598
$6,771
$1,005 – $16,483
Healthcare Highways 31
$7,300
$6,326 – $8,569
EmblemHealth 40
$7,717
$956 – $52,385
Oscar Health 133
$8,024
$1,792 – $14,192
AvMed 32
$18,880
$1,295 – $26,882

Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.

Where it’s cheapest

StateMedian cash
Nevada$1,889
Vermont$1,892
Michigan$1,922
New Hampshire$2,169
Montana$2,238
West Virginia$3,000

Prices by city

Chicago, ILAustin, TXPittsburgh, PAFort Worth, TXSacramento, CADallas, TXHouston, TXNew York, NYPhiladelphia, PASan Antonio, TXBrooklyn, NYCharlotte, NCCleveland, OHLos Angeles, CAPlano, TXArlington, TXBronx, NYCincinnati, OHKansas City, MOLittle Rock, ARNashville, TNSan Francisco, CAAurora, COColorado Springs, CO

Prices by state

TexasCaliforniaOhioFloridaNew YorkWisconsinPennsylvaniaIllinoisMinnesotaColoradoMichiganTennesseeNorth CarolinaLouisianaNew JerseyIndianaWashingtonGeorgiaIowaSouth CarolinaMaineArkansasMissouriKansasMississippiArizonaWest VirginiaVirginiaKentuckyNebraskaIdahoOklahomaMassachusettsUtahAlabamaConnecticutNew HampshireMontanaSouth DakotaNew MexicoVermontWyomingNevadaNorth DakotaDelawareHawaii

Doctors who perform this

Clinicians who reported the most Medicare volume for this service. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.

ClinicianSpecialtyLocationMedicare services
Sheri Slezak, M.D.Plastic and Reconstructive SurgeryBaltimore, MD19
June Lee, MDGeneral SurgeryPalm Springs, FL18
Thomas Jackson, M.D.Plastic and Reconstructive SurgeryColumbus, IN17
Janie Gia-Lin Weng Grumley, MDGeneral SurgerySanta Monica, CA17
Windy Olaya, M.D.Plastic and Reconstructive SurgeryOrange, CA16
Kenneth Fan, M.D.Plastic and Reconstructive SurgeryWashington, DC16
Barry Martin, M.D.Plastic and Reconstructive SurgerySioux Falls, SD13
Randy Oppold, P.A.Physician AssistantSioux Falls, SD13
Robert Foster, MDPlastic and Reconstructive SurgerySan Francisco, CA13
Stephen Madry, M.D.Plastic and Reconstructive SurgeryElk Grove Village, IL12
Scott Newbrough, MDPlastic and Reconstructive SurgeryTulsa, OK12
Kamron AllenPhysician AssistantSalinas, CA11

Browse doctors by specialty & city →

Does Medicare cover Breast reduction?

Yes — Medicare generally covers Breast reduction. It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $980. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $196 — unless a Medicare Advantage or supplemental (Medigap) plan covers it.

General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.

About these prices

Based on prices published by 1330 US hospitals across 51 states, the typical (median) cash price is $7,368, versus a chargemaster (list) price around $11,286, a median insurer-negotiated rate of $6,627, a Medicare rate of about $980. Most cash prices fall between $1,712 and $25,950 — a wide spread, which is exactly why comparing hospitals pays off.

How to save

  • Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
  • Compare several nearby hospitals; prices for the same service can differ severalfold.
  • Request a written estimate and the billing code (CPT/DRG) before scheduling.
  • Use the Medicare benchmark above to judge whether a quote is reasonable.
  • If you are uninsured, ask about financial assistance or prompt-pay discounts.

Frequently asked questions

How much does Breast reduction cost without insurance?
The median cash (self-pay) price across 1330 US hospitals is $7,368. Most hospitals fall between $1,712 and $25,950. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover Breast reduction?
Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $980). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.
What does Medicare pay for Breast reduction?
Medicare pays about $980. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Breast reduction prices vary between hospitals?
Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.
Is the cash price lower than using insurance?
Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

Related Surgery & Procedures

Abscess incision and drainageAbscess drainage (simple)Abscess drainage (complex or multiple)Foreign body removal (skin)Simple wound stitchesBurn treatmentSimple laceration repair (small, up to 2.5 cm)Burn dressing and debridement (small)

See more Surgery & Procedures.