CMS Price Transparency Data

Breast lump removal

Facility: Emory Houston Hospital Warner Robins

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,566
about 0.9× the $4,000 Medicare rate · typically $2,308–$3,914
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,718
About the fair price
about $152 over the fair price · 0.9× Medicare
Medicare pays $4,000 Fair price $3,566 This hospital $3,718

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 $3,718

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 $3,566 (about 0.9× the $4,000 Medicare rate). Emory Houston Hospital Warner Robins charges insurers about $3,718 — about the fair price. Located in Warner Robins, 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 $4,581 115%
Blue Cross Blue Shieldmajor $3,515 - $5,843 88%
Aetnamajor $3,578 - $5,405 89%
Cignamajor $3,613 - $5,495 90%
Humanamajor $6,293 157%
Ambetter (Centene) $7,436 186%
Clover Health $3,683 92%
WellCare $3,718 93%
+ 1 smaller / regional plan $3,507

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Facility Profile & Credentials

  • Address: 1601 Watson Boulevard, Warner Robins, GA 31093
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals