CMS Price Transparency Data

Breast lump removal

Facility: Holy Cross Hospital

Billing Code: 19120 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 19120
  • Insurance Median: $330
  • Cash Discount Price: $1,860
  • vs. Medicare Baseline: 0.08x Medicare
The contracted insurance negotiated median rate for a Breast lump removal at Holy Cross Hospital is $330. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,860. Compared to the federal Medicare reimbursement reference rate of $4,000.24, this hospital’s rate is 0.08x the Medicare baseline. Located in 4725 N Federal Hwy, Ft Lauderdale, FL.
Cash / Self-Pay
$1,860

Average discount available for prompt cash payment at this facility.

Insurance Median
$330

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%)
Cash / Self-Pay: $1,860 (46%)
Insurance Median: $330 (8%)
Cash: $1,860 (46% of Medicare)
Ins. Median: $330 (8% 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

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Commercial Insurance Negotiated Rates

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

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Medicaid / KanCare $136 - $16,604 3%
Aetna $163 - $8,335 4%
Albany County Correctional Facility $163 - $244 4%
Ambetter / Centene $163 - $7,147 4%
Amish Mennonite $163 - $244 4%
Ascension St. Vincent Public Safety Medical $163 - $244 4%
Bcccp-Michigan $163 - $244 4%
Bccp $163 - $244 4%
Blue Cross Blue Shield $163 - $20,380 4%
Bmc Healthnet $163 - $244 4%
Breast Grant-Connecticut $163 - $244 4%
Broward County Dept Of Health $163 - $244 4%
California Health And Wellness $163 - $244 4%
Cardinal Innovations Lme $163 - $244 4%
Care Connections Of Northern Iowa $163 - $244 4%
Care Oregon Ohp $163 - $244 4%
Cencal Health Plan $163 - $244 4%
Cenpatico $163 - $244 4%
Chhuny $163 - $244 4%
Childrens Comm Health Plan $163 - $244 4%
Childrens Medical Services Title 19 $163 - $244 4%
Cigna $163 - $4,127 4%
City Of Philadelphia $163 - $244 4%
Cmh Allegan County $163 - $244 4%
Cmh Ausable Valley $163 - $244 4%
Cmh Barry County $163 - $244 4%
Cmh Bay-Arenac County $163 - $244 4%
Cmh Berrien County $163 - $244 4%
Cmh Cass County $163 - $244 4%
Cmh Central Mi County $163 - $244 4%
Cmh Clinton-Eaton-Ingham County $163 - $244 4%
Cmh Detroit Wayne Integrated Health Network $163 - $244 4%
Cmh Genesee County $163 - $244 4%
Cmh Ionia County $163 - $244 4%
Cmh Jackson County/Lifeways $163 - $244 4%
Cmh Kalamazoo $163 - $244 4%
Cmh Kent County $163 - $244 4%
Cmh Lenawee County $163 - $244 4%
Cmh Livingston County $163 - $244 4%
Cmh Macomb $163 - $244 4%
Cmh Misc $163 - $244 4%
Cmh Monroe County $163 - $244 4%
Cmh Montcalm County $163 - $244 4%
Cmh Muskegon County $163 - $244 4%
Cmh Newaygo County $163 - $244 4%
Cmh North Country $163 - $244 4%
Cmh Northern Lakes County $163 - $244 4%
Cmh Oakland County $163 - $244 4%
Cmh Ottawa County $163 - $244 4%
Cmh Van Buren County $163 - $244 4%
Cmh Washtenaw County $163 - $244 4%
Cmh Wayne County/Carelink $163 - $244 4%
Cmh Wayne Cty/Com Liv Svcs $163 - $244 4%
Cmh West Mi County $163 - $244 4%
Community Benefit Health $163 - $244 4%
Community Care Behavorial Health $163 - $244 4%
Community Care Partners $163 - $244 4%
Community Health Choice $163 - $244 4%
Connections Csp $163 - $244 4%
County Coroner $163 - $244 4%
County Funding Generic $163 - $244 4%
Covid19 Hrsa Uninsured Testing And Treatment Fund $163 - $244 4%
Dean Wi Badgercare $163 - $244 4%
Delaware County Department Of Health $163 - $244 4%
Delaware First Health $163 - $244 4%
Delta Dental Nj $163 - $244 4%
Dph Tb Program $163 - $244 4%
Dscc $163 - $244 4%
Eastpointe Lme $163 - $244 4%
Family Health Network $163 - $244 4%
Freedom First Healthcare $163 - $244 4%
Fresno County Ccs $163 - $244 4%
Ghc Scw Wi Badgercare $163 - $244 4%
Harbor Health $163 - $244 4%
Health Safety Net $163 - $244 4%
Healthy Blue Ne $163 - $244 4%
Hennepin Health $163 - $244 4%
Humana $163 - $16,604 4%
Id County Ada $163 - $244 4%
Id County Canyon $163 - $244 4%
Id County Cat Fund $163 - $244 4%
Id County Other $163 - $244 4%
Id County Payette $163 - $244 4%
Idaho Dept Health And Wellfare $163 - $244 4%
Idaho Womens Health Check $163 - $244 4%
Indiana Breast Cervical Cancer $163 - $244 4%
Inland Empire Health Plan $163 - $244 4%
Intercommunity Health Ohp $163 - $244 4%
Iowa Total Care $163 - $244 4%
Jai Medical System $163 - $244 4%
Kern Family Health Plan $163 - $244 4%
Keystone First $163 - $244 4%
Keystone First Chip $163 - $244 4%
La Care Health Plan $163 - $244 4%
Lakeland Care Inc $163 - $244 4%
Managed Health Services - Indiana $163 - $244 4%
Maryland Breast & Cervical Program $163 - $244 4%
Maryland Healthy Smiles - Scion Dental $163 - $244 4%
Maryland Physicians Care $163 - $244 4%
Massachusetts Behavioral Health Partnership $163 - $244 4%
Mdwise $163 - $244 4%
Medi-Cal $163 - $244 4%
Medi-Cal Healthnet $163 - $244 4%
Medstar Dc Healthy Family $163 - $244 4%
Medstar Md Health Choice $163 - $244 4%
Mo Home State Health Plan $163 - $244 4%
Molina Centennial Care $163 - $244 4%
Nascentia Health Options $163 - $244 4%
Nebraska Total Care $163 - $244 4%
New York Cancer Services Program $163 - $244 4%
Nextlevel Health $163 - $244 4%
Oregon Screenwise $163 - $244 4%
Pace Of Southwest Michigan $163 - $330 4%
Paramount Advantage $163 - $244 4%
Parkland Community Health Plan $163 - $244 4%
Partners Behavioral Lme $163 - $244 4%
Peach State Healthplan $163 - $244 4%
Philadelphia County Funding $163 - $244 4%
Presbyterian Centennial Care $163 - $244 4%
Prestige Health Choice $163 - $244 4%
Priority Partners $163 - $244 4%
Robert F Sing Program $163 - $244 4%
Rx 340B Pass Along $163 - $244 4%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $163 - $244 4%
Rx Medi-Cal $163 - $244 4%
Rx Meridian Rx $163 - $244 4%
Ryan White Florida Mssrp $163 - $4,089 4%
Sandhills Center Lme $163 - $244 4%
Screening For Life $163 - $244 4%
St Joseph County Hlth Dpt $163 - $244 4%
Stephenson Cty Health $163 - $244 4%
Superior Health $163 - $244 4%
Tenncare $163 - $244 4%
Texas Children'S Health Plan $163 - $244 4%
Trillium Community Ohp $163 - $244 4%
Tufts Health Public Plans $163 - $244 4%
UnitedHealthcare $163 - $5,248 4%
Vaya Health Lme $163 - $244 4%
Washtenaw Health Plan $163 - $244 4%
Wellsense Health Plan $163 - $244 4%
Wi Womens Wellness $163 - $244 4%
Sunshine State Health Plan $168 - $16,604 4%
Champva $215 - $323 5%
Tricare $215 - $323 5%
Triwest Health Alliance $215 - $323 5%
Us Family Health Plan $215 - $323 5%
Veterans Eval Services $215 - $323 5%
Align Senior Care $220 - $330 5%
Ally Align Care Adv $220 - $330 5%
American Health Advantage Of Idaho $220 - $330 5%
American Health Plan $220 - $330 5%
Aurora Special Needs $220 - $330 5%
Blue Care Network Advantage $220 - $330 5%
Blue Shield - De (Highmark) Medciare Advantage $220 - $330 5%
Care Dimensions $220 - $330 5%
Care Improvement Plus $220 - $330 5%
Care Resources Pace $220 - $330 5%
Careplus Health Plans $220 - $4,099 5%
Cca - Zing Health $220 - $330 5%
Cca Senior Care Options $220 - $330 5%
Central Valley Medical Services Corp Pace $220 - $330 5%
Champion Health Plan Mcr Advantage $220 - $330 5%
Clear Spring Health $220 - $330 5%
Clover Health $220 - $330 5%
Commonwealth Care Alliance $220 - $330 5%
Community Pace At Home $220 - $330 5%
Eddy Senior Care-Pace $220 - $330 5%
Eddy Seniorcare Pace $220 - $330 5%
Elementcare $220 - $330 5%
Evercare $220 - $330 5%
Everence $220 - $330 5%
Gateway Health Plan $220 - $330 5%
Genesys Pace Of Genesee County $220 - $330 5%
Georgia Health Advantage $220 - $330 5%
Gold Advantage $220 - $330 5%
Gpa Croell Redi Mix $220 - $330 5%
Health America Advantra $220 - $330 5%
Highmark Health Options Dual Plan $220 - $330 5%
Hope Select Pace $220 - $330 5%
Horizon Nj Total Care $220 - $330 5%
Hudson Headwaters Pace $220 - $330 5%
Huron Valley Pace $220 - $330 5%
Innovative Integrated Health Community Plans $220 - $330 5%
Iowa Health Advantage $220 - $330 5%
Johns Hopkins Advantage Md $220 - $330 5%
Lasso Healthcare Msa $220 - $330 5%
Life St Marys Pace $220 - $330 5%
Lifecircles Pace $220 - $330 5%
Longevity Health Plan $220 - $330 5%
Longevity Ipa Of Michigan Llc Health Plan Isnp $220 - $330 5%
Martins Point Generations Advantage $220 - $330 5%
Mass General Brigham Mcr Adv $220 - $330 5%
Medicare (plans) $220 - $4,293 5%
Medipak Advantage $220 - $330 5%
Mercy Life $220 - $330 5%
Mercyone Cedar Valley $220 - $330 5%
Meridian Complete $220 - $330 5%
Michigan Complete Health $220 - $330 5%
Nascentia Health Plus $220 - $330 5%
Osu Prime Care Advantage $220 - $330 5%
Pace Cny $220 - $330 5%
Pace Iowa Immanuel Pathways $220 - $330 5%
Pace Southeast $220 - $330 5%
Pace-Trinity Health $220 - $330 5%
Peak Pace Solutions $220 - $330 5%
Perennial Advantage $220 - $330 5%
Preferred Care Partners $220 - $4,007 5%
Presbyterian Senior Plan $220 - $330 5%
Provider Partners Health Plan Of Illinois $220 - $330 5%
Provider Partners Health Plan Of Indiana $220 - $330 5%
Pruitthealth Premier $220 - $330 5%
Reliance Community Care Partners Care Resources Pace $220 - $330 5%
Rx Allwin $220 - $330 5%
Rx Grane Grnmedd $220 - $330 5%
Rx Retiree Rx Care $220 - $330 5%
Scan Health Plan Mcr Ipa Meritage Oon $220 - $330 5%
Secure Horizons Ma Pffs $220 - $330 5%
Serenity Pace $220 - $330 5%
Siouxland Pace $220 - $330 5%
Sunnyview-Pace Finance Dept $220 - $330 5%
Texan Plus $220 - $330 5%
The Health Plan $220 - $330 5%
Thome Pace $220 - $330 5%
Todays Options $220 - $330 5%
Tribute Health Plans $220 - $330 5%
Um Health Advantage $220 - $330 5%
Union Health Service $220 - $330 5%
Welbe Health $220 - $330 5%
Wellmed $220 - $330 5%
New Centry Health Careplus $225 - $337 6%
Veterans Administration $225 - $337 6%
Solis Health Plans $231 - $4,293 6%
Avmed Health Plan $269 - $7,523 7%
Molina Marketplace $269 - $5,333 7%
Geha $283 - $5,248 7%
Bcn Domestic $288 - $15,595 7%
Blue Benefit Administrators Of Massachusetts $288 - $15,595 7%
Blue Care Network $288 - $15,595 7%
Blue Distinction Transplant $288 - $15,595 7%
Blue Shield - Ca $288 - $15,595 7%
Blue Shield - Id (Regence) $288 - $15,595 7%
Blue Shield - Ny Highmark Northeastern $288 - $15,595 7%
Blue Shield - Ny Highmark Western $288 - $15,595 7%
Blue Shield - Pa (Highmark) $288 - $15,595 7%
Blue Shield - Wa (Regence) $288 - $15,595 7%
Health Choices $288 - $15,595 7%
Kaiser Domestic $288 - $15,595 7%
Pre-Employment $288 - $15,595 7%
Wc Domestic $288 - $15,595 7%
Oscar $292 - $6,951 7%
Centivo $314 - $8,791 8%
Curative $314 - $7,564 8%
Upmc Health Plan $323 - $968 8%
Community Care Plan $327 - $16,604 8%
Memorial Integrated Health $327 - $8,953 8%
Multiplan $337 - $14,612 8%
Phcs $337 - $11,623 8%
Coventry $338 - $507 8%
First Health $338 - $9,747 8%
Meritain $338 - $507 8%
Wc Broward County $457 - $9,464 11%
Wc Corvel $457 - $9,464 11%
Wc Heritage Summit $467 - $9,664 12%
Andrie Inc $482 - $722 12%
East Greenbush Central School District $482 - $722 12%
Genex Wc $482 - $722 12%
Healthsmart Workers Comp $482 - $722 12%
Jag Source $482 - $722 12%
New York State Insurance Fund $482 - $722 12%
Njm Insurance Group $482 - $722 12%
Rx Heatlhcomp $482 - $722 12%
Rx Restat $482 - $722 12%
Rx Saif Opdp Wc $482 - $722 12%
Rx Worker'S Comp $482 - $722 12%
Wc Accident Fund $482 - $722 12%
Wc Ace $482 - $722 12%
Wc Acs Federal Employees $482 - $722 12%
Wc Acuity $482 - $722 12%
Wc Advantage $482 - $722 12%
Wc Aegis $482 - $722 12%
Wc Aig $482 - $722 12%
Wc Aims $482 - $722 12%
Wc Alaska National Ins $482 - $722 12%
Wc Align Network $482 - $722 12%
Wc Allied $482 - $722 12%
Wc Am Trust N America $482 - $722 12%
Wc American Claims Mgmt $482 - $722 12%
Wc Amerisure $482 - $722 12%
Wc Amtrust $482 - $722 12%
Wc Asu Risk Mgt $482 - $722 12%
Wc Benetech $482 - $722 12%
Wc Berkley Admin $482 - $722 12%
Wc Broadspire $482 - $722 12%
Wc Bunch & Associates $482 - $722 12%
Wc California State Comp Ins $482 - $722 12%
Wc California State Ins Fund $482 - $722 12%
Wc Capitol Area Health Consortium $482 - $722 12%
Wc Ccmsi $482 - $722 12%
Wc Chartis $482 - $722 12%
Wc Chubb $482 - $722 12%
Wc Cirma $482 - $722 12%
Wc City Of Albany $482 - $722 12%
Wc City Of Sioux City $482 - $722 12%
Wc Claims Mgmt Inc $482 - $722 12%
Wc Cna $482 - $722 12%
Wc Comp One Admin C/O Manageability $482 - $722 12%
Wc Compone Admin $482 - $722 12%
Wc Ct Healthcare Trust $482 - $722 12%
Wc Donegal Insurance Group $482 - $722 12%
Wc Emc Insurance Company $482 - $722 12%
Wc Employee Mutual $482 - $722 12%
Wc Enablecomp $482 - $722 12%
Wc Encore Health Network $482 - $722 12%
Wc Erie $482 - $722 12%
Wc Esis $482 - $722 12%
Wc Evolutions $482 - $722 12%
Wc Fcci $482 - $722 12%
Wc Fed Ex $482 - $722 12%
Wc Federal Black Lung $482 - $722 12%
Wc Federated $482 - $722 12%
Wc Finley Occupational Health $482 - $722 12%
Wc First Agency/Occunet $482 - $722 12%
Wc Ford Motor $482 - $722 12%
Wc Fresno Unified Emp $482 - $722 12%
Wc Gallagher Bassett $482 - $722 12%
Wc General Motors $482 - $722 12%
Wc Generic $482 - $722 12%
Wc Genex Care For Ohio $482 - $722 12%
Wc Great West Casualty $482 - $722 12%
Wc Guarantee Insurance $482 - $722 12%
Wc Guard Insurance Company $482 - $722 12%
Wc Hab $482 - $722 12%
Wc Hartford $482 - $722 12%
Wc Hastings $482 - $722 12%
Wc Health Management $482 - $722 12%
Wc Hireright $482 - $722 12%
Wc Horizon $482 - $722 12%
Wc Icw Group $482 - $722 12%
Wc Idaho State Ins Fund $482 - $722 12%
Wc Intercare Insurance $482 - $722 12%
Wc Intermountain $482 - $722 12%
Wc Johns Eastern $482 - $722 12%
Wc Kemberton $482 - $722 12%
Wc Key Ins & Benefit Solutions $482 - $722 12%
Wc Liberty Mutual $482 - $722 12%
Wc Mac Risk Management $482 - $722 12%
Wc Massachusetts $482 - $722 12%
Wc Mdia $482 - $722 12%
Wc Meadowbrook Claim $482 - $722 12%
Wc Medical Administrators $482 - $722 12%
Wc Meijers $482 - $722 12%
Wc Memic $482 - $722 12%
Wc Mercy Workcare $482 - $722 12%
Wc Michigan $482 - $722 12%
Wc Michigan Millers Mutual $482 - $722 12%
Wc Mitchell Frankenmuth $482 - $722 12%
Wc Mra $482 - $722 12%
Wc Nationwide $482 - $722 12%
Wc Nca Comp $482 - $722 12%
Wc New York $482 - $722 12%
Wc New York Special Funds $482 - $722 12%
Wc North American Rishces $482 - $722 12%
Wc Northeast Health $482 - $722 12%
Wc Notre Dame $482 - $722 12%
Wc Novanet $482 - $722 12%
Wc O'Hara Corp $482 - $722 12%
Wc Occ Health Allen $482 - $722 12%
Wc Ohio Bureau $482 - $722 12%
Wc One Call Medical $482 - $722 12%
Wc Paradigm $482 - $722 12%
Wc Peerless $482 - $722 12%
Wc Pma $482 - $722 12%
Wc Price Chopper $482 - $722 12%
Wc Procura Management $482 - $722 12%
Wc Qualcare $482 - $722 12%
Wc Quiktrip $482 - $722 12%
Wc Reny Company $482 - $722 12%
Wc Rev Claims $482 - $722 12%
Wc Risico $482 - $722 12%
Wc Rural Mutual $482 - $722 12%
Wc Saif Oregon $482 - $722 12%
Wc Secura $482 - $722 12%
Wc Sedgwick $482 - $722 12%
Wc Sentry $482 - $722 12%
Wc Sheakley Unicomp $482 - $722 12%
Wc Smile Lodge $482 - $722 12%
Wc Society $482 - $722 12%
Wc Srs $482 - $722 12%
Wc Taconic (Mro) $482 - $722 12%
Wc Taconic Farms $482 - $722 12%
Wc Travelers $482 - $722 12%
Wc Triad Group $482 - $722 12%
Wc Tristar $482 - $722 12%
Wc Troy Ny $482 - $722 12%
Wc Tyson $482 - $722 12%
Wc Unified Health Services $482 - $722 12%
Wc United Heartland $482 - $722 12%
Wc Us Dept Of Labor $482 - $722 12%
Wc Velocity $482 - $722 12%
Wc Walmart $482 - $722 12%
Wc West Bend $482 - $722 12%
Wc West Bend Mutual/Argent $482 - $722 12%
Wc Winnebago Industries $482 - $722 12%
Wc Yankee Trails $482 - $722 12%
Wc York Risk $482 - $722 12%
Wc Zenith $482 - $722 12%
Wc Zurich $482 - $722 12%
Allianz Global Assistance $744 - $9,962 19%
Axa Assistance Us $744 - $9,962 19%
Axis Services $744 - $9,962 19%
Desjardins Financial Security Life Assurance $744 - $9,962 19%
Global Benefits Group $744 - $9,962 19%
Global Health Claim Services $744 - $9,962 19%
Morgan White Administrators $744 - $9,962 19%
National Healthcare Solutions $744 - $9,962 19%
Olympus Managed Health Care $744 - $9,962 19%
Penfield Care $744 - $9,962 19%
Sanus Healthcare $744 - $9,962 19%
Selectcare Worldwide $744 - $2,576 19%
Star Healthcare Network $744 - $2,576 19%
Sunmed International $744 - $10,294 19%
Ww Concierge Healthcare Service $744 - $9,962 19%
Auto Liabililty Praxis $902 - $3,123 23%
Wc Praxis Health Network $902 - $3,123 23%
Trustbridge $3,689 - $4,007 92%
Catholic Hospice $4,089 102%
Vitas Healthcare Corp $4,089 102%
Bridge Health $5,534 - $8,302 138%
Connecticare $6,498 - $9,747 162%
Emblem Health $6,498 - $9,747 162%
Cmn Global $6,641 - $9,962 166%
Global Medical Management $6,641 - $9,962 166%
Guardian $6,641 - $9,962 166%
Quality Health Management $6,641 - $9,962 166%
International Generic $7,195 - $10,793 180%
Unicare $7,748 - $11,623 194%
General Electric $11,069 - $16,604 277%
Heartland Hospice $11,069 - $16,604 277%
Hospice Vitas $11,069 - $16,604 277%
Sunbelt International $11,069 - $16,604 277%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4725 N Federal Hwy, Ft Lauderdale, FL 33308
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals