CMS Price Transparency Data

Breast lump removal

Facility: Sarasota Memorial Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$688
about 0.2× the $4,000 Medicare rate · typically $492–$1,978
modeled estimate · not a bill or quote
What this hospital charges insurers
$636
About the fair price
about $52 under the fair price · 0.2× Medicare
Medicare pays $4,000 Fair price $688 This hospital $636

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

On the higher side — 6 of 8 other FL hospitals charge less.

Cheapest $506 Priciest $678

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 $688 (about 0.2× the $4,000 Medicare rate). Sarasota Memorial Hospital charges insurers about $636 — about the fair price. Located in Sarasota, FL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $372 - $7,281 9%
Blue Cross Blue Shieldmajor $297 - $4,089 7%
Aetnamajor $323 - $6,310 8%
Cignamajor $460 - $5,750 11%
Ambetter (Centene) $1,152 - $11,040 29%
AmeriHealth $254 - $946 6%
Molina $250 - $928 6%
Oscar Health $521 - $7,454 13%
Simply Healthcare $243 - $903 6%
WellCare $326 - $4,293 8%
+ 14 smaller / regional plans $243 - $4,498

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Facility Profile & Credentials

  • Address: 1700 S Tamiami Trl, Sarasota, FL 34239
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals