CMS Price Transparency Data

Breast lump removal

Facility: Rush University Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$5,185
about 1.3× the $4,000 Medicare rate · typically $3,149–$5,937
modeled estimate · not a bill or quote
What this hospital charges insurers
$5,706
About the fair price
about $521 over the fair price · 1.4× Medicare
Medicare pays $4,000 Fair price $5,185 This hospital $5,706 Cash price $2,994 Hospital's list price $5,988

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

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

Cheapest $444 Priciest $5,706

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

A fair price for a Breast lump removal is about $5,185 (about 1.3× the $4,000 Medicare rate). Rush University Medical Center charges insurers about $5,706, or about $2,994 in cash — about the fair price. Located in Chicago, IL.

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 $3,389 - $8,084 85%
Blue Cross Blue Shieldmajor $1,670 - $5,988 42%
Aetnamajor $2,587 - $5,988 65%
Cignamajor $1,796 - $5,988 45%
Humanamajor $5,988 150%
Ambetter (Centene) $5,664 142%
Devoted Health $5,988 150%
Meridian $1,670 - $4,406 42%
Molina $1,770 - $5,706 44%
WellCare $5,988 150%
+ 2 smaller / regional plans $1,670 - $6,347

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Facility Profile & Credentials

  • Address: 1653 West Congress Parkway, Chicago, IL 60612
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals