CMS Price Transparency Data

Breast lump removal

Facility: Bristol Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$2,119
about 0.5× the $4,000 Medicare rate · typically $1,060–$4,622
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,646
Well above the fair price
about $2,527 over the fair price · 1.2× Medicare
Medicare pays $4,000 Fair price $2,119 This hospital $4,646

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

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

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 $2,119 (about 0.5× the $4,000 Medicare rate). Bristol Hospital charges insurers about $4,646 — well above the fair price. Located in Bristol, CT.

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 $2,119. 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 $443 - $6,805 11%
Blue Cross Blue Shieldmajor $443 - $10,999 11%
Aetnamajor $443 - $9,479 11%
Cignamajor $8,070 202%
WellCare $443 - $4,715 11%
+ 3 smaller / regional plans $443 - $11,762

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: 41 Brewster Rd, Bristol, CT 06010
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals