CMS Price Transparency Data

Breast lump removal

Facility: HCA Florida Capital Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$8,920
about 2.2× the $4,000 Medicare rate · typically $2,520–$13,944
modeled estimate · not a bill or quote
What this hospital charges insurers
$16,115
Well above the fair price
about $7,195 over the fair price · 4.0× Medicare
Medicare pays $4,000 Fair price $8,920 This hospital $16,115

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 $16,115

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 $8,920 (about 2.2× the $4,000 Medicare rate). HCA Florida Capital Hospital charges insurers about $16,115 — well above the fair price. Located in Tallahassee, 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 $8,920. 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 $6,559 164%
Blue Cross Blue Shieldmajor $18,413 - $34,579 460%
Aetnamajor $5,112 - $7,671 128%
Cignamajor $22,763 - $54,447 569%
Humanamajor $16,115 403%
AvMed $20,942 - $23,005 524%
Molina $3,950 - $6,243 99%
Oscar Health $7,117 178%
Simply Healthcare $6,539 163%
+ 2 smaller / regional plans $3,950 - $6,641
Excludes 3 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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 2626 Capital Medical Blvd, Tallahassee, FL 32308
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals