CMS Price Transparency Data

Breast lump removal

Facility: South Shore Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$4,674
about 1.2× the $4,000 Medicare rate · typically $1,740–$5,792
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,956
Below the fair price — a good deal
about $718 under the fair price · 1.0× Medicare
Medicare pays $4,000 Fair price $4,674 This hospital $3,956

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

On the higher side — 6 of 8 other MA hospitals charge less.

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 $4,674 (about 1.2× the $4,000 Medicare rate). South Shore Hospital charges insurers about $3,956 — below the fair price — a good deal. Located in South Weymouth, 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 $2,404 60%
Blue Cross Blue Shieldmajor $3,220 80%
Aetnamajor $4,692 117%
Harvard Pilgrim $1,863 47%
Tufts Health Plan $6,445 - $6,735 161%

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Facility Profile & Credentials

  • Address: 55 Fogg Road, South Weymouth, MA 02190
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals