CMS Price Transparency Data

Breast lump removal

Facility: Atrium Health Floyd Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,748
about 0.9× the $4,000 Medicare rate · typically $3,019–$3,851
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,731
About the fair price
about $17 under the fair price · 0.9× Medicare
Medicare pays $4,000 Fair price $3,748 This hospital $3,731

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

Highest price of the 9 GA hospitals we have prices for — worth calling around.

Cheapest $518 Priciest $3,731

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 $3,748 (about 0.9× the $4,000 Medicare rate). Atrium Health Floyd Medical Center charges insurers about $3,731 — about the fair price. Located in Rome, GA.

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 $3,731 93%
Blue Cross Blue Shieldmajor $1,927 - $3,731 48%
Aetnamajor $3,768 94%
Cignamajor $3,731 93%
Humanamajor $3,731 93%
Ambetter (Centene) $5,597 140%
CareSource $3,731 - $5,597 93%
Clover Health $3,843 96%
WellCare $3,806 95%
+ 3 smaller / regional plans $3,731 - $7,462

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Facility Profile & Credentials

  • Address: 304 Turner McCall Boulevard, Rome, GA 30162
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals