CMS Price Transparency Data

Breast lump removal

Facility: Larkin Community Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$5,358
about 1.3× the $4,000 Medicare rate · typically $1,471–$9,521
modeled estimate · not a bill or quote
What this hospital charges insurers
$574
Below the fair price — a good deal
about $4,784 under the fair price · 0.1× Medicare
Medicare pays $4,000 Fair price $5,358 This hospital $574 Cash price $1,367 Hospital's list price $1,953

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

One of the lower prices — 6 of 8 other FL hospitals charge more for the same procedure.

Cheapest $506 Priciest $678

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 $5,358 (about 1.3× the $4,000 Medicare rate). Larkin Community Hospital charges insurers about $574, or about $1,367 in cash — below the fair price — a good deal. Located in South Miami, FL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna Blue Cross Blue ShieldCignaHumanaKaiser 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 $610 15%
Aetnamajor $488 - $1,953 12%
AvMed $1,953 49%
Bright Health $1,953 49%
+ 5 smaller / regional plans $488 - $1,270
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 7031 Sw 62Nd Ave, South Miami, FL 33143
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals