Breast lump removal
Facility: Medstar Georgetown University Hospital
Billing Code: 19120 (CPT)
A typical price — 1 charge more and 1 charge less, among the 3 DC hospitals compared.
Black dot = this hospital, among the 3 DC hospitals with a price for this procedure. Full list below.
A fair price for a Breast lump removal is about $4,160 (about 1.0× the $4,000 Medicare rate). Medstar Georgetown University Hospital charges insurers about $4,625, or about $5,600 in cash — about the fair price. Located in Washington, DC.
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
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 | $2,412 - $19,429 | 60% |
| Blue Cross Blue Shieldmajor | $2,111 - $4,625 | 53% |
| Aetnamajor | $4,764 - $4,974 | 119% |
| Cignamajor | $2,518 - $10,143 | 63% |
| Humanamajor | $4,857 | 121% |
| Amerigroup | $2,866 | 72% |
| AmeriHealth | $2,866 | 72% |
| + 2 smaller / regional plans | $637 - $4,857 |
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.
Other Procedures at Medstar Georgetown University Hospital
Compare: Breast lump removal at other DC hospitals
- Medstar Health Physical Therapy · Washington $4,205
- Medstar Washington Hospital Center · Washington $4,718
Insurance negotiated median for the same procedure, sorted lowest first.