CMS Price Transparency Data

Breast lump removal

Facility: Winchester Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$4,897
about 1.2× the $4,000 Medicare rate · typically $1,916–$6,277
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,893
About the fair price
about $4 under the fair price · 1.2× Medicare
Medicare pays $4,000 Fair price $4,897 This hospital $4,893 Cash price $5,753 Hospital's list price $5,753

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 $4,893

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 $4,897 (about 1.2× the $4,000 Medicare rate). Winchester Hospital charges insurers about $4,893, or about $5,753 in cash — about the fair price. Located in Winchester, 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 $9,039 226%
Blue Cross Blue Shieldmajor $4,515 - $5,094 113%
Aetnamajor $4,692 117%
Cignamajor $2,024 51%
Harvard Pilgrim $6,184 155%

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Facility Profile & Credentials

  • Address: 41 Highland Avenue, Winchester, MA 01890
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals