CMS Price Transparency Data

Breast lump removal

Facility: St Francis Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$4,693
about 1.2× the $4,000 Medicare rate · typically $1,746–$5,872
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,382
Below the fair price — a good deal
about $1,311 under the fair price · 0.8× Medicare
Medicare pays $4,000 Fair price $4,693 This hospital $3,382 Cash price $14,284

How we calculate the fair BaseRate →

How this hospital compares to other DE hospitals

A typical price — 3 charge more and 2 charge less, among the 6 DE hospitals compared.

Cheapest $502 Priciest $5,502

Black dot = this hospital, among the 6 DE hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Breast lump removal is about $4,693 (about 1.2× the $4,000 Medicare rate). St Francis Hospital charges insurers about $3,382, or about $14,284 in cash — below the fair price — a good deal. Located in Wilmington, DE.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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
Blue Cross Blue Shieldmajor $3,382 - $5,893 85%
Aetnamajor $4,411 - $5,001 110%
Cignamajor $4,207 105%
AmeriHealth $5,893 147%
+ 4 smaller / regional plans $2,608 - $3,382
Government programs also on file: Medicare.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 7Th and Clayton Sts, Wilmington, DE 19805
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals