CMS Price Transparency Data
Breast lump removal
Facility: Phoenix Children's Hospital
Billing Code: 19120 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$1,311
about 0.3× the $4,000 Medicare rate · typically $465–$4,404
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $1,311 Hospital's list price $8,034
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 | $3,495 - $11,210 | 87% |
| Blue Cross Blue Shieldmajor | $4,693 - $6,351 | 117% |
| Aetnamajor | $3,680 - $5,889 | 92% |
| Cignamajor | $5,592 - $8,437 | 140% |
| + 13 smaller / regional plans | $107 - $5,222 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Phoenix Children's Hospital
Compare: Breast lump removal at other AZ hospitals
- Chandler Regional Medical Center · Chandler $497
- Valleywise Health Medical Center · Phoenix $555
- Kingman Regional Medical Center · Kingman $578
- Yavapai Regional Medical Center · Prescott $859
- Abrazo Arrowhead Hospital · Glendale $1,604
- Abrazo Scottsdale Campus · Phoenix $1,912
- Banner Casa Grande Medical Center · Casa Grande $2,289
- Banner Thunderbird Medical Center · Glendale $2,289
Insurance negotiated median for the same procedure, sorted lowest first.