CMS Price Transparency Data

Breast lump removal

Facility: Bethesda Hospital East

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$4,295
about 1.1× the $4,000 Medicare rate · typically $1,499–$7,393
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,089
About the fair price
about $206 under the fair price · 1.0× Medicare
Medicare pays $4,000 Fair price $4,295 This hospital $4,089 Cash price $5,544 Hospital's list price $8,529

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 $4,295 (about 1.1× the $4,000 Medicare rate). Bethesda Hospital East charges insurers about $4,089, or about $5,544 in cash — about the fair price. Located in Boynton Beach, FL.

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 $841 - $8,529 21%
Blue Cross Blue Shieldmajor $4,089 - $8,529 102%
Aetnamajor $883 - $4,579 22%
Cignamajor $1,617 - $4,293 40%
Humanamajor $4,252 106%
Amerigroup $841 - $1,262 21%
AmeriHealth $3,838 96%
AvMed $3,036 - $4,498 76%
Medica $4,089 102%
WellCare $841 - $1,262 21%
+ 8 smaller / regional plans $841 - $7,676
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2815 S Seacrest Blvd, Boynton Beach, FL 33435
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals