CMS Price Transparency Data

Breast lump removal

Facility: Central Florida Lake Monroe Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$8,060
about 2.0× the $4,000 Medicare rate · typically $2,910–$11,667
modeled estimate · not a bill or quote
What this hospital charges insurers
$9,010
About the fair price
about $950 over the fair price · 2.3× Medicare
Medicare pays $4,000 Fair price $8,060 This hospital $9,010

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 $9,010

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 $8,060 (about 2.0× the $4,000 Medicare rate). Central Florida Lake Monroe Hospital charges insurers about $9,010 — about the fair price. Located in Sanford, 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 $5,700 142%
Blue Cross Blue Shieldmajor $14,130 - $28,970 353%
Aetnamajor $7,110 - $8,761 178%
Cignamajor $11,554 289%
Humanamajor $26,783 670%
AvMed $27,374 - $30,068 684%
Molina $3,950 - $6,243 99%
Oscar Health $7,922 198%
Simply Healthcare $6,539 163%
+ 5 smaller / regional plans $1,950 - $13,332
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1401 W Seminole Blvd, Sanford, FL 32771
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals