CMS Price Transparency Data

Breast lump removal

Facility: HCA Florida South Shore Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$7,187
about 1.8× the $4,000 Medicare rate · typically $2,670–$10,622
modeled estimate · not a bill or quote
What this hospital charges insurers
$8,128
About the fair price
about $941 over the fair price · 2.0× Medicare
Medicare pays $4,000 Fair price $7,187 This hospital $8,128

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 $8,128

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 $7,187 (about 1.8× the $4,000 Medicare rate). HCA Florida South Shore Hospital charges insurers about $8,128 — about the fair price. Located in Sun City Center, 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 $5,675 142%
Blue Cross Blue Shieldmajor $8,128 - $14,680 203%
Aetnamajor $10,038 - $15,456 251%
Cignamajor $11,502 288%
Humanamajor $14,540 363%
AvMed $11,933 - $28,672 298%
Molina $3,950 - $5,711 99%
Oscar Health $7,522 188%
Simply Healthcare $3,950 - $4,931 99%
+ 7 smaller / regional plans $1,638 - $9,896
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: 4016 Sun City Center Blvd, Sun City Center, FL 33573
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals