CMS Price Transparency Data

Breast lump removal

Facility: Halifax Health Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$4,090
about 1.0× the $4,000 Medicare rate · typically $2,272–$4,090
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,882
About the fair price
about $208 under the fair price · 1.0× Medicare
Medicare pays $4,000 Fair price $4,090 This hospital $3,882

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 $3,882

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 $4,090 (about 1.0× the $4,000 Medicare rate). Halifax Health Medical Center charges insurers about $3,882 — about the fair price. Located in Daytona 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 $3,844 96%
Blue Cross Blue Shieldmajor $3,844 96%
Aetnamajor $3,844 - $7,895 96%
Cignamajor $3,844 96%
Humanamajor $3,728 - $7,649 93%
Devoted Health $3,998 100%
Health Net $7,688 192%
Molina $3,921 98%
WellCare $3,844 96%
+ 12 smaller / regional plans $3,267 - $8,648
Government programs also on file: Medicare, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals