CMS Price Transparency Data

Breast lump removal

Facility: Fairview Park Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$6,171
about 1.5× the $4,000 Medicare rate · typically $1,673–$7,026
modeled estimate · not a bill or quote
What this hospital charges insurers
$6,459
About the fair price
about $288 over the fair price · 1.6× Medicare
Medicare pays $4,000 Fair price $6,171 This hospital $6,459

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 $6,459

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 $6,171 (about 1.5× the $4,000 Medicare rate). Fairview Park Hospital charges insurers about $6,459 — about the fair price. Located in Dublin, 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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $5,400 135%
Blue Cross Blue Shieldmajor $6,316 - $7,683 158%
Aetnamajor $4,613 - $6,459 115%
Cignamajor $7,390 - $9,852 185%
Ambetter (Centene) $2,984 75%
Amerigroup $2,365 59%
Friday Health $4,368 109%
Health Net $9,674 - $9,871 242%
WellCare $2,375 59%
+ 8 smaller / regional plans $1,758 - $9,871
Government programs also on file: Medicaid.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 200 Industrial Boulevard, Dublin, GA 31021
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals