CMS Price Transparency Data

Breast lump removal

Facility: Emory University Hospital Midtown

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$4,889
about 1.2× the $4,000 Medicare rate · typically $2,447–$5,782
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,557
About the fair price
about $332 under the fair price · 1.1× Medicare
Medicare pays $4,000 Fair price $4,889 This hospital $4,557 Cash price $6,653 Hospital's list price $6,653

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 $4,557

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 $4,889 (about 1.2× the $4,000 Medicare rate). Emory University Hospital Midtown charges insurers about $4,557, or about $6,653 in cash — about the fair price. Located in Atlanta, GA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 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 $3,895 - $4,581 97%
Blue Cross Blue Shieldmajor $3,515 - $5,843 88%
Aetnamajor $4,056 - $6,277 101%
Cignamajor $4,096 - $5,495 102%
Humanamajor $6,293 157%
Kaiser Permanentemajor $3,925 98%
Ambetter (Centene) $8,431 211%
Clover Health $4,176 104%
Devoted Health $3,977 99%
Oscar Health $4,557 114%
WellCare $4,216 105%

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 550 Peachtree Street, Ne, Atlanta, GA 30308
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals