CMS Price Transparency Data

Breast lump removal

Facility: Gulf Breeze Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$4,367
about 1.1× the $4,000 Medicare rate · typically $2,620–$7,396
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,853
Below the fair price — a good deal
about $514 under the fair price · 1.0× Medicare
Medicare pays $4,000 Fair price $4,367 This hospital $3,853

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 $3,853

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 $4,367 (about 1.1× the $4,000 Medicare rate). Gulf Breeze Hospital charges insurers about $3,853 — below the fair price — a good deal. Located in Gulf Breeze, FL.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser 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 $852 - $3,863 21%
Aetnamajor $852 - $4,036 21%
Humanamajor $894 - $3,921 22%
Simply Healthcare $979 24%
WellCare $894 - $4,036 22%
+ 5 smaller / regional plans $852 - $6,419
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 1110 Gulf Breeze Pkwy, Gulf Breeze, FL 32561
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals