CMS Price Transparency Data

Breast lump removal

Facility: Broward Health Medical Center

Billing Code: 19120 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 19120
  • Insurance Median: $4,036
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Breast lump removal at Broward Health Medical Center is $4,036. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $4,000.24, this hospital’s rate is 1.01x the Medicare baseline. Located in 1600 S Andrews Ave, Fort Lauderdale, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,036

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$4,000.24

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $4,000.24 (100%)
Insurance Median: $4,036 (101%)
Ins. Median: $4,036 (101% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $4,000.24 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Humana $3,998 100%
Medica Healthcare $3,998 100%
Preferred Care Partners $3,998 100%
United Aarp $3,998 100%
United/Wellmed $3,998 100%
Aetna $4,036 101%
Careplus Health Plan $4,036 101%
Florida Pace Center $4,036 101%
Devoted $4,113 103%
Clear Springs Healthcare $4,151 104%
Doctor'S Healthcare $4,151 104%
Amerihealth Caritas $4,228 106%
Neighborhood Health Partnership $4,853 121%
United $4,853 121%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1600 S Andrews Ave, Fort Lauderdale, FL 33316
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals