CPT 19318 Surgery - Integumentary
Breast reduction Cost
Body System: Integumentary
Medicare Facility Rate
$980
CMS PFS CY2026
Medicare Non-Facility Rate
$980
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
15.63
Work RVU
10.76
Facility PE RVU
2.96
Malpractice RVU
29.35
Total RVU
Frequently Asked Questions
How much does Breast reduction cost?
The Medicare facility rate is $980. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Breast reduction cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $980.