CMS Price Transparency Data

Breast lump removal

Facility: Medstar Washington Hospital Center

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$5,087
about 1.3× the $4,000 Medicare rate · typically $2,610–$7,092
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,718
About the fair price
about $369 under the fair price · 1.2× Medicare
Medicare pays $4,000 Fair price $5,087 This hospital $4,718 Cash price $5,335 Hospital's list price $8,208

How we calculate the fair BaseRate →

How this hospital compares to other DC hospitals

Highest price of the 3 DC hospitals we have prices for — worth calling around.

Cheapest $4,205 Priciest $4,718

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 $5,087 (about 1.3× the $4,000 Medicare rate). Medstar Washington Hospital Center charges insurers about $4,718, or about $5,335 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.

6 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 $2,380 - $21,923 59%
Blue Cross Blue Shieldmajor $4,625 - $6,056 116%
Aetnamajor $4,764 - $4,974 119%
Cignamajor $2,467 - $4,109 62%
Humanamajor $4,857 121%
Kaiser Permanentemajor $2,513 - $4,857 63%
Amerigroup $2,866 72%
AmeriHealth $2,866 72%
+ 3 smaller / regional plans $637 - $17,985
Government programs also on file: Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 110 Irving Street Nw, Washington, DC 20010
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals