CMS Price Transparency Data

Breast lump removal

Facility: North Hawaii Community Hospital, Inc

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$4,916
about 1.2× the $4,000 Medicare rate · typically $1,686–$5,466
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,930
About the fair price
about $14 over the fair price · 1.2× Medicare
Medicare pays $4,000 Fair price $4,916 This hospital $4,930 Cash price $8,224 Hospital's list price $11,749

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

Highest price of the 9 HI hospitals we have prices for — worth calling around.

Cheapest $3,850 Priciest $4,930

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

A fair price for a Breast lump removal is about $4,916 (about 1.2× the $4,000 Medicare rate). North Hawaii Community Hospital, Inc charges insurers about $4,930, or about $8,224 in cash — about the fair price. Located in Kamuela, 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 $1,380 - $4,930 34%
Kaiser Permanentemajor $4,930 - $13,803 123%
+ 8 smaller / regional plans $3,142 - $4,930

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 67 1125 Mamalahoa Highway, Kamuela, HI 96743
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals