Breast reduction Cost (2026) — Compare Hospital Prices

Breast reduction is a surgical procedure. Prices are from 1343 US hospitals across 51 states, from their machine-readable files.

$7,567median cash price · 1343 hospitals, 51 statestypically $1,761–$25,921 depending on the hospital

≈ 7.7× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)

$11,533

Cash / self-pay

$7,567

Insurer-negotiated

$6,599

Medicare pays

$980

$1,761$25,921

Median cash $7,567 · Medicare $980 · bar = typical cash range (10th–90th percentile)

Is this a fair price?

1× Medicarefair ≈2×5×+

Typical cash price here is $7,567 — about 7.7× 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 $11,533 list price could save about $3,966 (34%).

Estimate what you’ll pay

Deductible remaining Coinsurance %

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

See negotiated rates for your insurer:

Hospital	Location	Cash	Insurer	CMS rating	ER wait	Readmit
Jackson General Hospital	Ripley, WV	$1,149	—	★ 3/5	127 min	—
Summersville Regional Medical Center	Summersville, WV	$1,149	—	★ 2/5	136 min	—
Vanderbilt Bedford Hospital	Shelbyville, TN	$1,156	$1,823	★ 4/5	125 min	—
Vanderbilt Tullahoma-Harton Hospital	Tullahoma, TN	$1,156	$1,849	★ 3/5	168 min	—
Bayside Community Hospital	Anahuac, TX	$1,166	$671	—	106 min	—
Harrison Community Hospital	Cadiz, OH	$1,188	—	—	82 min	—
Barnesville Hospital Association, Inc	Barnesville, OH	$1,188	$4,513	—	115 min	—
Hospital Pavia Caguas	Caguas, PR	$1,200	$630	—	—	—
North Central Surgical Center Llp	Dallas, TX	$1,355	$7,024	—	108 min	—
Family Health West Hospital	Fruita, CO	$1,408	$11,878	—	48 min	—
Holzer Medical Center Jackson	Jackson, OH	$1,471	$2,177	★ 3/5	137 min	—
Ste Genevieve County Memorial Hospital	Sainte Genevieve, MO	$1,512	$1,020	★ 4/5	103 min	—
Bronson Methodist Hospital	Kalamazoo, MI	$1,550	$3,580	★ 4/5	235 min	—
Bronson Battle Creek Hospital	Battle Creek, MI	$1,550	$6,201	★ 3/5	191 min	—
Bronson South Haven Hospital	South Haven, MI	$1,550	$1,938	—	136 min	—
Battle Creek VA Medical Center	Battle Creek, MI	$1,550	$6,201	—	—	—
Bronson Lakeview Hospital	Paw Paw, MI	$1,550	$1,589	★ 5/5	153 min	—
Ellis Hospital	Schenectady, NY	$1,554	$1,132	★ 3/5	232 min	—
Alice Peck Day Memorial Hospital	Lebanon, NH	$1,571	$2,253	★ 4/5	118 min	—
Tops Surgical Specialty Hospital	Houston, TX	$1,582	$2,777	—	—	—
Red Bud Regional Hospital	Red Bud, IL	$1,645	$2,820	★ 4/5	122 min	—
Deaconess Hospital Inc	Evansville, IN	$1,645	$1,382	★ 2/5	186 min	—
The Women's Hospital	Newburgh, IN	$1,645	$1,559	★ 5/5	130 min	—
Deaconess Henderson Hospital	Henderson, KY	$1,645	$1,645	★ 2/5	127 min	—
Southwest General Health Center	Middleburg Heights, OH	$1,650	$720	★ 4/5	199 min	—

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 October 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: $7,567; Medicare pays $980.

Insurer	Hospitals	Negotiated median
Medicaid	131	$353 $75 – $970
Medicare	232	$484 $81 – $2,483
Tricare / VA	151	$700 $89 – $6,723
Highmark	86	$761 $105 – $9,118
Health Net	119	$836 $93 – $12,748
Univera	11	$886 $117 – $1,166
Blue Cross Blue Shield	716	$920 $122 – $13,144
MVP Health Care	53	$949 $169 – $7,877
AmeriHealth	125	$1,086 $217 – $9,094
Geisinger	33	$1,086 $217 – $7,374
Independent Health	17	$1,101 $547 – $2,746
Centene / Ambetter	493	$1,318 $85 – $9,878
Anthem	349	$1,380 $122 – $13,829
Kaiser Permanente	135	$1,400 $105 – $19,242
Coventry	46	$1,471 $270 – $8,481
Priority Health	36	$1,511 $386 – $6,775
Molina Healthcare	376	$1,676 $116 – $7,146
MultiPlan / PHCS network	204	$1,937 $162 – $10,866
Amerigroup	114	$1,937 $762 – $6,604
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	92	$2,060 $191 – $8,658
Harvard Pilgrim	27	$2,412 $386 – $9,969
UCare	34	$2,779 $752 – $7,022
Medica	53	$3,454 $784 – $6,881
Humana	595	$4,131 $386 – $17,832
UPMC Health Plan	56	$4,232 $837 – $15,281
Security Health Plan	24	$4,652 $772 – $13,077
Aetna	806	$4,688 $484 – $12,237
SelectHealth	33	$5,307 $772 – $11,245
UnitedHealthcare	873	$5,677 $582 – $13,471
EmblemHealth	54	$6,048 $956 – $52,385
Devoted Health	106	$6,554 $5,617 – $7,732
Cigna	622	$6,771 $981 – $16,483
Healthcare Highways	31	$7,300 $6,326 – $8,569
Oscar Health	145	$8,024 $1,312 – $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

State	Median cash
Vermont	$1,752
Michigan	$1,922
Tennessee	$2,152
New Hampshire	$2,169
Montana	$2,238
West Virginia	$3,000

Prices by city

Prices by state

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.

Clinician	Specialty	Location	Medicare services
Sheri Slezak, M.D.	Plastic and Reconstructive Surgery	Baltimore, MD	19
June Lee, MD	General Surgery	Palm Springs, FL	18
Thomas Jackson, M.D.	Plastic and Reconstructive Surgery	Columbus, IN	17
Janie Gia-Lin Weng Grumley, MD	General Surgery	Santa Monica, CA	17
Windy Olaya, M.D.	Plastic and Reconstructive Surgery	Orange, CA	16
Kenneth Fan, M.D.	Plastic and Reconstructive Surgery	Washington, DC	16
Barry Martin, M.D.	Plastic and Reconstructive Surgery	Sioux Falls, SD	13
Randy Oppold, P.A.	Physician Assistant	Sioux Falls, SD	13
Robert Foster, MD	Plastic and Reconstructive Surgery	San Francisco, CA	13
Stephen Madry, M.D.	Plastic and Reconstructive Surgery	Elk Grove Village, IL	12
Scott Newbrough, MD	Plastic and Reconstructive Surgery	Tulsa, OK	12
Kamron Allen	Physician Assistant	Salinas, CA	11

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 1343 US hospitals across 51 states, the typical (median) cash price is $7,567, versus a chargemaster (list) price around $11,533, a median insurer-negotiated rate of $6,599, a Medicare rate of about $980. Most cash prices fall between $1,761 and $25,921 — 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 1343 US hospitals is $7,567. Most hospitals fall between $1,761 and $25,921. 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 drainage Abscess drainage (simple)Abscess drainage (complex or multiple)Simple wound stitches Foreign body removal (skin)Burn treatment Simple laceration repair (small, up to 2.5 cm)Burn dressing and debridement (small)

See more Surgery & Procedures.