CMS Price Transparency Data
Breast lump removal
Facility: Candler County Hospital
Billing Code: 19120 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$1,868
about 0.5× the $4,000 Medicare rate · typically $550–$5,901
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $1,868 Hospital's list price $1,412
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✓ Cigna✓ Humana AetnaKaiser 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 | $974 | 24% |
| Blue Cross Blue Shieldmajor | $339 - $4,993 | 8% |
| Cignamajor | $712 | 18% |
| Humanamajor | $285 | 7% |
| Ambetter (Centene) | $251 | 6% |
| CareSource | $362 | 9% |
Government programs also on file: Medicaid.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Candler County Hospital
Compare: Breast lump removal at other GA hospitals
- Atrium Health Navicent Peach · Byron $518
- Shepherd Center, Inc. · Atlanta $631
- Grady Memorial Hospital · Atlanta $690
- Navicent Health Baldwin · Milledgeville $871
- Northside Hospital Duluth · Duluth $965
- Atrium Health Navicent the Medical Center · Macon $1,000
- Atrium Health Navicent Rehabilitation Hopsital · Macon $1,000
- Northside Hospital Forsyth · Cumming $1,094
Insurance negotiated median for the same procedure, sorted lowest first.