CMS Price Transparency Data

Breast lump removal

Facility: Navicent Health Baldwin

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,656
about 0.4× the $4,000 Medicare rate · typically $871–$3,627
modeled estimate · not a bill or quote
What this hospital charges insurers
$871
Below the fair price — a good deal
about $785 under the fair price · 0.2× Medicare
Medicare pays $4,000 Fair price $1,656 This hospital $871

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

A typical price — 5 charge more and 3 charge less, among the 9 GA hospitals compared.

Cheapest $518 Priciest $1,125

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 $1,656 (about 0.4× the $4,000 Medicare rate). Navicent Health Baldwin charges insurers about $871 — below the fair price — a good deal. Located in Milledgeville, 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 $398 - $6,575 10%
Blue Cross Blue Shieldmajor $398 - $4,144 10%
Aetnamajor $398 - $3,768 10%
Cignamajor $747 19%
Humanamajor $398 - $3,731 10%
Ambetter (Centene) $538 13%
Clover Health $406 - $3,806 10%
+ 6 smaller / regional plans $398 - $4,020

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Facility Profile & Credentials

  • Address: 821 North Cobb Street, Milledgeville, GA 31061
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals