CMS Price Transparency Data
Breast lump removal
Facility: Phoebe Sumter Medical Center
Billing Code: 19120 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$3,947
about 1.0× the $4,000 Medicare rate · typically $2,134–$6,257
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $3,947 Cash price $788 Hospital's list price $1,314
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
1 of 6 major insurers have a published price at this hospital
✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser 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 |
|---|---|---|
| Aetnamajor | $3,500 - $5,318 | 87% |
| Ambetter (Centene) | $6,005 | 150% |
| Clover Health | $3,534 | 88% |
| + 2 smaller / regional plans | $3,603 - $4,975 |
Self-Pay How to get the cash price
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Other Procedures at Phoebe Sumter 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.