CMS Price Transparency Data

Breast lump removal

Facility: Baycare Hospital Wesley Chapel

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$5,743
about 1.4× the $4,000 Medicare rate · typically $2,192–$8,563
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,420
Below the fair price — a good deal
about $1,323 under the fair price · 1.1× Medicare
Medicare pays $4,000 Fair price $5,743 This hospital $4,420

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 $4,420

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 $5,743 (about 1.4× the $4,000 Medicare rate). Baycare Hospital Wesley Chapel charges insurers about $4,420 — below the fair price — a good deal. Located in Wesley Chapel, 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 $4,113 - $8,692 103%
Blue Cross Blue Shieldmajor $3,844 96%
Aetnamajor $3,844 - $4,420 96%
Cignamajor $4,420 110%
Humanamajor $3,993 - $4,805 100%
Ambetter (Centene) $8,648 - $9,802 216%
WellCare $5,381 135%
+ 2 smaller / regional plans $3,844 - $4,228

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Facility Profile & Credentials

  • Address: 4501 Bruce B Downs Blvd, Wesley Chapel, FL 33544
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals