Breast lump removal
Facility: Heywood Hospital -
Billing Code: 19120 (CPT)
Highest price of the 9 MA hospitals we have prices for — worth calling around.
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 $4,676 (about 1.2× the $4,000 Medicare rate). Heywood Hospital - charges insurers about $5,135 — about the fair price. Located in Gardner, 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
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 | $5,368 | 134% |
| Blue Cross Blue Shieldmajor | $5,072 - $5,198 | 127% |
| Aetnamajor | $2,000 - $4,160 | 50% |
| Cignamajor | $1,973 | 49% |
| Harvard Pilgrim | $6,306 | 158% |
| Tufts Health Plan | $5,320 | 133% |
| + 2 smaller / regional plans | $4,160 - $6,240 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Heywood Hospital -
Compare: Breast lump removal at other MA hospitals
- Metrowest Medical Center · Framingham $922
- St Vincent Hospital · Worcester $922
- Brigham and Women's Hospital · Boston $2,534
- Cambridge Health Alliance · Cambridge $3,220
- Beth Israel Deaconess Hospital - Milton · Milton $3,350
- Brigham and Women Faulkner Hospital · Jamaica Plain $3,682
- South Shore Hospital · South Weymouth $3,956
- Emerson Hospital - · W Concord $4,000
Insurance negotiated median for the same procedure, sorted lowest first.