CMS Price Transparency Data

Breast lump removal

Facility: Childrens Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,266
about 0.3× the $4,000 Medicare rate · typically $516–$4,093
modeled estimate · not a bill or quote
What this hospital charges insurers
$450
Below the fair price — a good deal
about $816 under the fair price · 0.1× Medicare
Medicare pays $4,000 Fair price $1,266 This hospital $450 Cash price $2,345 Hospital's list price $8,684

How we calculate the fair BaseRate →

How this hospital compares to other LA hospitals

Lowest price of the 9 LA hospitals we have prices for — a strong deal.

Cheapest $450 Priciest $562

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Breast lump removal is about $1,266 (about 0.3× the $4,000 Medicare rate). Childrens Hospital charges insurers about $450, or about $2,345 in cash — below the fair price — a good deal. Located in New Orleans, LA.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $4,447 111%
Ambetter (Centene) $450 11%
Government programs also on file: Medicare.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 200 Henry Clay Ave, New Orleans, LA 70118
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens