CMS Price Transparency Data
Breast lump removal
Facility: Tidalhealth Nanticoke, Inc.
Billing Code: 19120 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$4,824
about 1.2× the $4,000 Medicare rate · typically $1,159–$7,256
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $4,824 Cash price $2,000 Hospital's list price $2,000
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
1 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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 | $10,641 | 266% |
Self-Pay How to get the cash price
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Other Procedures at Tidalhealth Nanticoke, Inc.
Compare: Breast lump removal at other DE hospitals
- PAM Rehabilitation Hospital of Dover · Dover $502
- PAM Health Rehabilitation Hospital of Georgetown · Georgetown $502
- St Francis Hospital · Wilmington $3,382
- Christiana Hospital · Newark $4,612
- Bayhealth Hospital, Sussex Campus · Milford $5,331
- Bayhealth Medical Center, Kent Campus · Dover $5,502
Insurance negotiated median for the same procedure, sorted lowest first.