CMS Price Transparency Data

Breast lump removal

Facility: Saint Anne's Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$5,635
about 1.4× the $4,000 Medicare rate · typically $2,868–$6,150
modeled estimate · not a bill or quote
What this hospital charges insurers
$5,800
About the fair price
about $165 over the fair price · 1.4× Medicare
Medicare pays $4,000 Fair price $5,635 This hospital $5,800 Cash price $8,536 Hospital's list price $8,536

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

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

Cheapest $922 Priciest $5,800

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

A fair price for a Breast lump removal is about $5,635 (about 1.4× the $4,000 Medicare rate). Saint Anne's Hospital charges insurers about $5,800, or about $8,536 in cash — about the fair price. Located in Fall River, MA.

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 $775 - $5,043 19%
Blue Cross Blue Shieldmajor $5,800 145%
Aetnamajor $4,692 - $13,772 117%
Harvard Pilgrim $10,896 272%
Tufts Health Plan $7,278 182%
+ 3 smaller / regional plans $4,927 - $7,039

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Facility Profile & Credentials

  • Address: 795 Middle Street, Fall River, MA 02721
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals