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CMS Price Transparency Data Hospital file updated: 2026-04-01

Breast lump removal

Facility: Medstar Health Physical Therapy

Billing Code: 19120 (CPT)

Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.High Markup · Shop Alternatives
$1,615Fair BaseRate (2.60× Market)
Position vs. 1.00× Fair Price+160% Above Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

This hospital's typical commercial price is $4,205 compared to the $1,615 fair price benchmark.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).86/100 · Verified
86/100Hover Any Check Below to See How Prices Were Audited
File Completeness90Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic88Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment86Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing83Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount84Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.High-Markup · Check Safety
CMS Star RatingNot RatedOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety ScoreNot ScoredComposite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER WaitNo ER DataMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

The BaseRate · fair price medium confidence
A fair price for this
$1,615
about 0.4× the $4,000 Medicare rate · typically $821–$3,929
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,205
Well above the fair price
about $2,590 over the fair price · 1.1× Medicare
Medicare pays $4,000 Fair price $1,615 This hospital $4,205 Cash price $3,428 Hospital's list price $5,274

How we calculate the fair BaseRate →

How this hospital compares to other DC hospitals

Lowest price of the 4 DC hospitals we have prices for — a strong deal.

Cheapest $4,205 Priciest $4,811

Black dot = this hospital, among the 4 DC hospitals with a price for this procedure. Full list below.

A fair price for a Breast lump removal is about $1,615 (about 0.4× the $4,000 Medicare rate). Medstar Health Physical Therapy charges insurers about $4,205, or about $3,428 in cash — well above the fair price. Located in Washington, DC.

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 $1,615. 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.

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

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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 $3,586 - $4,219 90%
Blue Cross Blue Shieldmajor $2,584 - $4,102 65%
Aetnamajor $3,692 - $4,225 92%
Cignamajor $4,483 112%
Humanamajor $4,307 108%
Kaiser Permanentemajor $2,513 - $4,307 63%
+ 2 smaller / regional plans $3,744 - $4,307
Government programs also on file: Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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: 102 Irving St Nw, Washington, DC 20010
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL

Other Procedures at Medstar Health Physical Therapy

Compare: Breast lump removal at other DC hospitals

Insurance negotiated median for the same procedure, sorted lowest first.

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 36.3%

Audit a Bill or Quote at Medstar Health Physical Therapy (Zero PHI Required)

CMS CCN: 093025
CPT 19120
Fair BaseRate™ $1,615
Medicare Rate $4,000
Self-Pay Cash $3,428
Insurer Median $4,205
Pre-filled with Medstar Health Physical Therapy’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
2026 FPL: $15,650 + $5,500 per additional person
Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $1,914 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $1,914

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $1,914).

Step 2 · Cash vs. Insurance Arbitrage Save $1,846 Paying Cash

Self-Pay Cash Rate ($3,428) Beats Your Bill

Medstar Health Physical Therapy's published 45 CFR § 180 self-pay cash rate is $3,428 (vs. $4,205 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$3,659 Above Fair BaseRate

Negotiate Toward $1,615 Fair BaseRate ($4,000 Medicare)

Your bill ($5,274) is $3,659 above the denoised Fair BaseRate ($1,615) and 1.3× the $4,000 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.
Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

45 CFR § 180 Primary-Source Lineage & Federal Verification Verified CMS CCN 093025

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (521369749_medstar_national_rehabilitation_hospital_standardcharges.csv) Verify on CMS Medicare.gov (CCN 093025) ↗ CMS HCRIS Cost Reports ↗
Published MRF File521369749_medstar_national_rehabilitation_hospital_standardcharges.csv
Publication / Vintage2026-04-01 · 168.69 MB
Validated Rate Rows5,251,222 (CMS v3.0.0)
File Integrity Digest2603a8d27f5749e2b6c1…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy