CMS Price Transparency Data

Breast lump removal

Facility: Shands Jacksonville

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$3,181
about 0.8× the $4,000 Medicare rate · typically $1,538–$6,801
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,089
Above the fair price
about $908 over the fair price · 1.0× Medicare
Medicare pays $4,000 Fair price $3,181 This hospital $4,089 Cash price $5,211 Hospital's list price $9,475

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Highest price of the 9 FL hospitals we have prices for — worth calling around.

Cheapest $506 Priciest $4,089

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

A fair price for a Breast lump removal is about $3,181 (about 0.8× the $4,000 Medicare rate). Shands Jacksonville charges insurers about $4,089, or about $5,211 in cash — above the fair price. Located in Jacksonville, FL.

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 $3,181. 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.

5 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 $1,300 - $5,416 32%
Blue Cross Blue Shieldmajor $4,089 - $6,733 102%
Aetnamajor $937 - $7,808 23%
Cignamajor $2,024 51%
Humanamajor $946 - $8,054 24%
Ambetter (Centene) $6,381 160%
AmeriHealth $1,032 26%
AvMed $2,017 - $2,056 50%
Devoted Health $4,293 - $4,498 107%
Health Net $3,980 99%
Molina $1,032 - $4,997 26%
Simply Healthcare $1,022 26%
WellCare $4,784 120%
+ 21 smaller / regional plans $946 - $9,002
Excludes 7 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.

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Facility Profile & Credentials

  • Address: 655 W 8Th St, Jacksonville, FL 32209
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals