CMS Price Transparency Data

Breast lump removal

Facility: Emory Hillandale Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$4,469
about 1.1× the $4,000 Medicare rate · typically $2,696–$5,506
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,163
About the fair price
about $306 under the fair price · 1.0× Medicare
Medicare pays $4,000 Fair price $4,469 This hospital $4,163 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 $4,163

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 $4,469 (about 1.1× the $4,000 Medicare rate). Emory Hillandale Hospital charges insurers about $4,163, or about $6,653 in cash — about the fair price. Located in Lithonia, 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 $4,006 - $5,405 100%
Cignamajor $4,045 - $5,495 101%
Humanamajor $6,293 157%
Kaiser Permanentemajor $3,925 98%
Ambetter (Centene) $8,326 208%
Clover Health $4,124 103%
Devoted Health $3,927 98%
Oscar Health $4,557 114%
WellCare $4,163 104%

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Facility Profile & Credentials

  • Address: 2801 Dekalb Medical Parkway, Lithonia, GA 30058
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals