CMS Price Transparency Data

Breast lump removal

Facility: Lower Keys Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$4,674
about 1.2× the $4,000 Medicare rate · typically $2,246–$8,021
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,067
Below the fair price — a good deal
about $607 under the fair price · 1.0× Medicare
Medicare pays $4,000 Fair price $4,674 This hospital $4,067 Cash price $9,677 Hospital's list price $35,841

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 $4,067

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 $4,674 (about 1.2× the $4,000 Medicare rate). Lower Keys Medical Center charges insurers about $4,067, or about $9,677 in cash — below the fair price — a good deal. Located in Key West, 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 $62 - $27,562 2%
Blue Cross Blue Shieldmajor $4,309 - $63,496 108%
Aetnamajor $25,017 625%
Cignamajor $21,146 529%
Humanamajor $1,351 - $4,309 34%
Amerigroup $1,442 36%
AvMed $30,465 762%
Molina $1,482 37%
Simply Healthcare $1,442 - $3,000 36%
WellCare $1,442 36%
+ 12 smaller / regional plans $1,311 - $35,841
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 5900 College Road, Key West, FL 33040
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals