CMS Price Transparency Data

Breast lump removal

Facility: Baptist Health Medical Center - Jacksonville

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$2,935
about 0.7× the $4,000 Medicare rate · typically $1,465–$5,840
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,844
Above the fair price
about $909 over the fair price · 1.0× Medicare
Medicare pays $4,000 Fair price $2,935 This hospital $3,844 Cash price $3,224 Hospital's list price $4,741

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 $3,844

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 $2,935 (about 0.7× the $4,000 Medicare rate). Baptist Health Medical Center - Jacksonville charges insurers about $3,844, or about $3,224 in cash — above the fair price. Located in Jacksonville, 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 $2,935. 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 $946 - $3,882 24%
Blue Cross Blue Shieldmajor $1,375 - $64,895 34%
Aetnamajor $1,031 - $3,921 26%
Cignamajor $1,849 - $2,892 46%
Humanamajor $860 - $946 21%
Ambetter (Centene) $9,190 - $9,225 230%
Amerigroup $860 21%
AmeriHealth $946 24%
AvMed $1,517 - $2,465 38%
CareSource $860 - $3,082 21%
Devoted Health $4,059 - $4,074 101%
Health Net $2,608 65%
Molina $1,023 26%
Simply Healthcare $903 - $1,031 23%
UPMC Health Plan $4,212 - $4,228 105%
+ 20 smaller / regional plans $711 - $4,036
Government programs also on file: Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (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.

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Facility Profile & Credentials

  • Address: 800 Prudential Dr, Jacksonville, FL 32207
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals