CMS Price Transparency Data

Breast lump removal

Facility: HCA Florida Highlands Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$9,124
about 2.3× the $4,000 Medicare rate · typically $2,509–$21,167
modeled estimate · not a bill or quote
What this hospital charges insurers
$23,011
Well above the fair price
about $13,887 over the fair price · 5.8× Medicare
Medicare pays $4,000 Fair price $9,124 This hospital $23,011

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 $23,011

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 $9,124 (about 2.3× the $4,000 Medicare rate). HCA Florida Highlands Hospital charges insurers about $23,011 — well above the fair price. Located in Sebring, 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 $9,124. 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 $26,000 650%
Blue Cross Blue Shieldmajor $15,535 - $24,677 388%
Aetnamajor $12,530 - $16,947 313%
Cignamajor $11,166 - $30,357 279%
Humanamajor $27,777 694%
AvMed $9,796 - $26,390 245%
Molina $3,950 99%
Oscar Health $10,148 254%
Simply Healthcare $9,488 237%
+ 1 smaller / regional plan $2,350
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: 3600 S Highlands Ave, Sebring, FL 33870
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals