Breast lump removal
Facility: Wellstar Spalding Medical Center
Billing Code: 19120 (CPT)
Highest price of the 9 GA hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 GA hospitals with a price for this procedure. Full list below.
A fair price for a Breast lump removal is about $5,850 (about 1.5× the $4,000 Medicare rate). Wellstar Spalding Medical Center charges insurers about $5,994 — about the fair price. Located in Griffin, GA.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
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 | $6,179 | 154% |
| Blue Cross Blue Shieldmajor | $4,006 - $14,967 | 100% |
| Aetnamajor | $3,927 - $5,809 | 98% |
| Cignamajor | $4,124 - $4,220 | 103% |
| Ambetter (Centene) | $6,912 | 173% |
| CareSource | $7,697 | 192% |
| Clover Health | $4,202 | 105% |
| Oscar Health | $6,676 | 167% |
| + 2 smaller / regional plans | $1,937 - $7,265 |
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.
Other Procedures at Wellstar Spalding Medical Center
Compare: Breast lump removal at other GA hospitals
- Atrium Health Navicent Peach · Byron $518
- Shepherd Center, Inc. · Atlanta $631
- Grady Memorial Hospital · Atlanta $690
- Navicent Health Baldwin · Milledgeville $871
- Northside Hospital Duluth · Duluth $965
- Atrium Health Navicent the Medical Center · Macon $1,000
- Atrium Health Navicent Rehabilitation Hopsital · Macon $1,000
- Northside Hospital Forsyth · Cumming $1,094
Insurance negotiated median for the same procedure, sorted lowest first.