CMS Price Transparency Data

Breast lump removal

Facility: Pinnacle Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$3,692
about 0.9× the $4,000 Medicare rate · typically $1,426–$6,434
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,413
Below the fair price — a good deal
about $2,279 under the fair price · 0.4× Medicare
Medicare pays $4,000 Fair price $3,692 This hospital $1,413 Hospital's list price $32,153

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

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

Cheapest $450 Priciest $1,413

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

A fair price for a Breast lump removal is about $3,692 (about 0.9× the $4,000 Medicare rate). Pinnacle Hospital charges insurers about $1,413 — below the fair price — a good deal. Located in Crown Point, IN.

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✓ Aetna✓ Cigna HumanaKaiser 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 $549 - $4,000 14%
Blue Cross Blue Shieldmajor $549 - $6,510 14%
Aetnamajor $1,123 - $4,000 28%
Cignamajor $646 16%
CareSource $6,960 174%

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Facility Profile & Credentials

  • Address: 9301 Connecticut Dr, Crown Point, IN 46307
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals