CMS Price Transparency Data

Breast lump removal

Facility: Norton Hospitals, Inc

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,667
about 0.9× the $4,000 Medicare rate · typically $2,038–$3,711
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,015
Below the fair price — a good deal
about $652 under the fair price · 0.8× Medicare
Medicare pays $4,000 Fair price $3,667 This hospital $3,015

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

On the higher side — 7 of 8 other KY hospitals charge less.

Cheapest $482 Priciest $3,538

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

A fair price for a Breast lump removal is about $3,667 (about 0.9× the $4,000 Medicare rate). Norton Hospitals, Inc charges insurers about $3,015 — below the fair price — a good deal. Located in Louisville, KY.

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 $3,590 90%
Blue Cross Blue Shieldmajor $1,251 - $3,590 31%
Aetnamajor $1,809 - $3,590 45%
Cignamajor $2,091 52%
WellCare $3,590 90%

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Facility Profile & Credentials

  • Address: 200 East Chestnut Street, Louisville, KY 40202
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals