CMS Price Transparency Data

Breast lump removal

Facility: St. Vincent's East

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,635
about 0.9× the $4,000 Medicare rate · typically $3,248–$3,688
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,653
About the fair price
about $18 over the fair price · 0.9× Medicare
Medicare pays $4,000 Fair price $3,635 This hospital $3,653 Hospital's list price $7,839

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

Highest price of the 9 AL hospitals we have prices for — worth calling around.

Cheapest $555 Priciest $3,653

Black dot = this hospital, among the 9 AL hospitals with a price for this procedure. Full list below.

A fair price for a Breast lump removal is about $3,635 (about 0.9× the $4,000 Medicare rate). St. Vincent's East charges insurers about $3,653 — about the fair price. Located in Birmingham, AL.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $3,214 - $3,760 80%
Blue Cross Blue Shieldmajor $3,438 86%
Aetnamajor $972 - $3,920 24%
Cignamajor $3,689 92%
Humanamajor $3,617 - $4,939 90%
Ambetter (Centene) $366 - $4,924 9%
+ 7 smaller / regional plans $496 - $6,271
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 50 Medical Park East Drive, Birmingham, AL 35235
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals