CMS Price Transparency Data

Breast lump removal

Facility: HCA Florida North Florida Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$7,211
about 1.8× the $4,000 Medicare rate · typically $2,566–$13,750
modeled estimate · not a bill or quote
What this hospital charges insurers
$12,043
Above the fair price
about $4,832 over the fair price · 3.0× Medicare
Medicare pays $4,000 Fair price $7,211 This hospital $12,043

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 $12,043

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 $7,211 (about 1.8× the $4,000 Medicare rate). HCA Florida North Florida Hospital charges insurers about $12,043 — above the fair price. Located in Gainesville, 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 $7,211. 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 $10,649 266%
Blue Cross Blue Shieldmajor $13,437 - $27,429 336%
Aetnamajor $7,519 - $9,824 188%
Cignamajor $22,585 - $54,020 565%
Humanamajor $19,813 495%
AvMed $10,572 - $24,385 264%
Molina $3,950 - $6,243 99%
Oscar Health $6,405 160%
Simply Healthcare $5,253 131%
+ 2 smaller / regional plans $3,950 - $6,641
Excludes 4 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: 6500 W Newberry Rd, Gainesville, FL 32605
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals