CMS Price Transparency Data

Breast lump removal

Facility: Providence St Elias Specialty Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$1,665
about 0.4× the $4,000 Medicare rate · typically $622–$5,392
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,635
Well above the fair price
about $2,970 over the fair price · 1.2× Medicare
Medicare pays $4,000 Fair price $1,665 This hospital $4,635

How we calculate the fair BaseRate →

How this hospital compares to other AK hospitals

A typical price — 2 charge more and 3 charge less, among the 6 AK hospitals compared.

Cheapest $1,517 Priciest $9,193

Black dot = this hospital, among the 6 AK hospitals with a price for this procedure. Full list below.

A fair price for a Breast lump removal is about $1,665 (about 0.4× the $4,000 Medicare rate). Providence St Elias Specialty Hospital charges insurers about $4,635 — well above the fair price. Located in Anchorage, AK.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $1,665. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $4,150 - $7,074 104%
Blue Cross Blue Shieldmajor $3,815 - $6,423 95%
Aetnamajor $2,689 - $5,313 67%
Cignamajor $3,386 - $6,381 85%
Baylor Scott & White $2,601 - $4,309 65%
+ 2 smaller / regional plans $4,130 - $5,098

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 4800 Cordova St, Anchorage, AK 99503
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL