CMS Price Transparency Data

Breast lump removal

Facility: HCA Florida Citrus Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$5,801
about 1.5× the $4,000 Medicare rate · typically $1,463–$9,548
modeled estimate · not a bill or quote
What this hospital charges insurers
$11,211
Well above the fair price
about $5,410 over the fair price · 2.8× Medicare
Medicare pays $4,000 Fair price $5,801 This hospital $11,211

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 $11,211

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 $5,801 (about 1.5× the $4,000 Medicare rate). HCA Florida Citrus Hospital charges insurers about $11,211 — well above the fair price. Located in Inverness, 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 $5,801. 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 $5,675 142%
Blue Cross Blue Shieldmajor $11,211 - $15,932 280%
Aetnamajor $13,402 - $13,982 335%
Cignamajor $13,226 331%
Humanamajor $19,994 500%
AvMed $14,818 - $28,672 370%
Molina $3,950 - $5,711 99%
Oscar Health $7,522 188%
Simply Healthcare $5,253 131%
+ 7 smaller / regional plans $1,556 - $13,329
Excludes 1 rental-network / third-party entry (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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 502 W Highland Blvd, Inverness, FL 34452
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals