CMS Price Transparency Data

Breast lump removal

Facility: Hill Hospital of Sumter County

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,129
about 0.8× the $4,000 Medicare rate · typically $2,138–$3,380
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,375
About the fair price
about $246 over the fair price · 0.8× Medicare
Medicare pays $4,000 Fair price $3,129 This hospital $3,375

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

A typical price — 1 charge more and 5 charge less, among the 9 AL hospitals compared.

Cheapest $555 Priciest $3,387

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 $3,129 (about 0.8× the $4,000 Medicare rate). Hill Hospital of Sumter County charges insurers about $3,375 — about the fair price. Located in York, 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 $3,375 84%
Blue Cross Blue Shieldmajor $2,246 56%
Aetnamajor $3,375 84%
Cignamajor $3,375 84%
Humanamajor $3,375 84%
+ 2 smaller / regional plans $3,375

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Facility Profile & Credentials

  • Address: 751 Derby Drive, York, AL 36925
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals