CMS Price Transparency Data

Breast lump removal

Facility: The Queens Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$4,382
about 1.1× the $4,000 Medicare rate · typically $717–$5,046
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,536
About the fair price
about $154 over the fair price · 1.1× Medicare
Medicare pays $4,000 Fair price $4,382 This hospital $4,536 Cash price $25,464 Hospital's list price $36,377

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

A typical price — 4 charge more and 4 charge less, among the 9 HI hospitals compared.

Cheapest $3,850 Priciest $4,930

Black dot = this hospital, among the 9 HI hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Breast lump removal is about $4,382 (about 1.1× the $4,000 Medicare rate). The Queens Medical Center charges insurers about $4,536, or about $25,464 in cash — about the fair price. Located in Honolulu, HI.

What each insurance company pays

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

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Kaiser Permanente Blue Cross Blue ShieldAetnaCignaHumana

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 $1,550 - $4,817 39%
Kaiser Permanentemajor $4,603 - $12,888 115%
+ 10 smaller / regional plans $258 - $8,515

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 1301 Punchbowl St, Honolulu, HI 96813
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals