CMS Price Transparency Data

Breast lump removal

Facility: HCA Florida Englewood Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$6,233
about 1.6× the $4,000 Medicare rate · typically $2,290–$9,425
modeled estimate · not a bill or quote
What this hospital charges insurers
$8,523
Above the fair price
about $2,290 over the fair price · 2.1× Medicare
Medicare pays $4,000 Fair price $6,233 This hospital $8,523

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 $8,523

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 $6,233 (about 1.6× the $4,000 Medicare rate). HCA Florida Englewood Hospital charges insurers about $8,523 — above the fair price. Located in Englewood, 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 $6,233. 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 $5,675 142%
Blue Cross Blue Shieldmajor $8,771 - $15,932 219%
Aetnamajor $9,017 - $14,949 225%
Cignamajor $12,361 309%
Humanamajor $14,540 363%
AvMed $11,933 - $28,672 298%
Molina $3,950 - $5,711 99%
Oscar Health $8,162 204%
Simply Healthcare $3,950 - $5,950 99%
+ 8 smaller / regional plans $1,638 - $10,037
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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 700 Medical Blvd, Englewood, FL 34223
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals