CMS Price Transparency Data

Breast lump removal

Facility: Northwest Community Hospital 1

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$4,503
about 1.1× the $4,000 Medicare rate · typically $2,939–$6,896
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,935
Below the fair price — a good deal
about $1,568 under the fair price · 0.7× Medicare
Medicare pays $4,000 Fair price $4,503 This hospital $2,935

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 $2,935

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 $4,503 (about 1.1× the $4,000 Medicare rate). Northwest Community Hospital 1 charges insurers about $2,935 — below the fair price — a good deal. Located in Arlington Heights, IL.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $3,751 94%
Blue Cross Blue Shieldmajor $796 - $5,346 20%
Aetnamajor $2,118 - $4,196 53%

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Facility Profile & Credentials

  • Address: 800 W Central Road, Arlington Heights, IL 60005
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals