CMS Price Transparency Data

Breast lump removal

Facility: Jay Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,216
about 0.3× the $4,000 Medicare rate · typically $746–$4,215
modeled estimate · not a bill or quote
What this hospital charges insurers
$894
Below the fair price — a good deal
about $322 under the fair price · 0.2× Medicare
Medicare pays $4,000 Fair price $1,216 This hospital $894

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 $894

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 $1,216 (about 0.3× the $4,000 Medicare rate). Jay Hospital charges insurers about $894 — below the fair price — a good deal. Located in Jay, 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 $1,305 33%
Aetnamajor $852 21%
Humanamajor $894 - $3,921 22%
Simply Healthcare $852 21%
WellCare $846 21%
+ 5 smaller / regional plans $852 - $8,072
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 14114 Alabama St, Jay, FL 32565
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals