CMS Price Transparency Data

Breast lump removal

Facility: George E Weems Memorial Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$828
about 0.2× the $4,000 Medicare rate · typically $435–$4,580
modeled estimate · not a bill or quote
What this hospital charges insurers
$506
Below the fair price — a good deal
about $322 under the fair price · 0.1× Medicare
Medicare pays $4,000 Fair price $828 This hospital $506 Cash price $549 Hospital's list price $784

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Lowest price of the 9 FL hospitals we have prices for — a strong deal.

Cheapest $506 Priciest $678

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 $828 (about 0.2× the $4,000 Medicare rate). George E Weems Memorial Hospital charges insurers about $506, or about $549 in cash — below the fair price — a good deal. Located in Apalachicola, FL.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Humana UnitedHealthcareAetnaCignaKaiser 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
Blue Cross Blue Shieldmajor $631 16%
Humanamajor $588 15%
+ 2 smaller / regional plans $470 - $541
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 135 Ave G, Apalachicola, FL 32320
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals