CMS Price Transparency Data

Breast lump removal

Facility: HCA Florida Aventura Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$4,308
about 1.1× the $4,000 Medicare rate · typically $1,476–$7,338
modeled estimate · not a bill or quote
What this hospital charges insurers
$7,962
Well above the fair price
about $3,654 over the fair price · 2.0× Medicare
Medicare pays $4,000 Fair price $4,308 This hospital $7,962

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 $7,962

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 $4,308 (about 1.1× the $4,000 Medicare rate). HCA Florida Aventura Hospital charges insurers about $7,962 — well above the fair price. Located in Aventura, 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 $4,308. 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 $7,197 180%
Blue Cross Blue Shieldmajor $13,617 - $18,507 340%
Aetnamajor $8,736 - $13,140 218%
Cignamajor $6,802 - $11,754 170%
Humanamajor $16,049 - $17,832 401%
AmeriHealth $8,727 218%
AvMed $9,553 - $20,955 239%
Medica $4,150 104%
Molina $3,950 - $5,211 99%
Oscar Health $5,933 148%
Simply Healthcare $3,792 - $5,360 95%
+ 6 smaller / regional plans $2,350 - $4,963
Excludes 3 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: 20900 Biscayne Blvd, Aventura, FL 33180
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals