CMS Price Transparency Data

Breast lump removal

Facility: William W Backus Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$2,048
about 0.5× the $4,000 Medicare rate · typically $1,006–$5,434
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,600
Below the fair price — a good deal
about $448 under the fair price · 0.4× Medicare
Medicare pays $4,000 Fair price $2,048 This hospital $1,600

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

One of the lower prices — 4 of 8 other CT hospitals charge more for the same procedure.

Cheapest $478 Priciest $4,646

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

A fair price for a Breast lump removal is about $2,048 (about 0.5× the $4,000 Medicare rate). William W Backus Hospital charges insurers about $1,600 — below the fair price — a good deal. Located in Norwich, CT.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $1,600 40%
Blue Cross Blue Shieldmajor $1,600 - $10,156 40%
Aetnamajor $1,640 41%
Molina $1,600 40%
Tufts Health Plan $1,600 40%
WellCare $1,632 41%
+ 1 smaller / regional plan $1,600

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Facility Profile & Credentials

  • Address: 326 Washington St, Norwich, CT 06360
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals