CMS Price Transparency Data

Breast lump removal

Facility: Holyoke Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$4,201
about 1.1× the $4,000 Medicare rate · typically $1,765–$4,757
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,196
About the fair price
about $5 under the fair price · 1.0× Medicare
Medicare pays $4,000 Fair price $4,201 This hospital $4,196 Cash price $3,738 Hospital's list price $4,672

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 $4,196

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 $4,201 (about 1.1× the $4,000 Medicare rate). Holyoke Medical Center charges insurers about $4,196, or about $3,738 in cash — about the fair price. Located in Holyoke, MA.

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 $3,852 - $4,298 96%
Blue Cross Blue Shieldmajor $4,087 - $4,541 102%
Aetnamajor $4,094 102%
Cignamajor $4,639 116%
Harvard Pilgrim $3,852 96%
Tufts Health Plan $1,844 - $6,137 46%
WellCare $4,379 109%
WellSense $2,057 - $4,339 51%
+ 4 smaller / regional plans $1,645 - $4,708

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Facility Profile & Credentials

  • Address: 575 Beech Street, Holyoke, MA 01040
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals