CMS Price Transparency Data

Breast lump removal

Facility: Baptist Medical Center - Nassau

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$4,155

about 1.0× the $4,000 Medicare rate · typically $1,419–$7,237

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,027

Below the fair price — a good deal

about $3,128 under the fair price · 0.3× Medicare

Medicare pays $4,000 Fair price $4,155 This hospital $1,027 Cash price $2,939 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 $1,027

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 $4,155 (about 1.0× the $4,000 Medicare rate). Baptist Medical Center - Nassau charges insurers about $1,027, or about $2,939 in cash — below the fair price — a good deal. Located in Fernandina Beach, FL.

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 - $3,082	34%
Aetnamajor	$1,031 - $3,921	26%
Cignamajor	$2,939 - $3,622	73%
Humanamajor	$860	21%
Ambetter (Centene)	$9,225	231%
Amerigroup	$860	21%
AmeriHealth	$946	24%
AvMed	$1,517 - $3,556	38%
Devoted Health	$4,074	102%
Molina	$1,023	26%
Simply Healthcare	$903 - $1,031	23%
UPMC Health Plan	$4,228	106%
+ 18 smaller / regional plans	$860 - $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

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 2,939), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 19120.

Insurance Before you use insurance

Call your insurance company to confirm Baptist Medical Center - Nassau is in-network.
Ask your insurer whether prior approval is required for CPT code 19120.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Baptist Medical Center - Nassau

Compare: Breast lump removal at other FL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.