CMS Price Transparency Data

Breast lump removal

Facility: New England Baptist Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$4,585
about 1.1× the $4,000 Medicare rate · typically $1,928–$4,852
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,436
About the fair price
about $149 under the fair price · 1.1× Medicare
Medicare pays $4,000 Fair price $4,585 This hospital $4,436 Cash price $9,383 Hospital's list price $9,383

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 $4,436

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 $4,585 (about 1.1× the $4,000 Medicare rate). New England Baptist Hospital charges insurers about $4,436, or about $9,383 in cash — about the fair price. Located in Boston, 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✓ Cigna AetnaHumanaKaiser 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 $4,846 121%
Blue Cross Blue Shieldmajor $4,386 - $4,486 110%
Cignamajor $2,445 61%
Harvard Pilgrim $4,283 107%
UniCare $5,121 128%

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Facility Profile & Credentials

  • Address: 125 Parker Hill Avenue, Boston, MA 02120
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals