CMS Price Transparency Data

Breast lump removal

Facility: Lahey Hospital & Medical Center, Burlington

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$4,959
about 1.2× the $4,000 Medicare rate · typically $1,920–$6,256
modeled estimate · not a bill or quote
What this hospital charges insurers
$6,218
Above the fair price
about $1,259 over the fair price · 1.6× Medicare
Medicare pays $4,000 Fair price $4,959 This hospital $6,218 Cash price $6,709 Hospital's list price $6,709

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 $6,218

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 $4,959 (about 1.2× the $4,000 Medicare rate). Lahey Hospital & Medical Center, Burlington charges insurers about $6,218, or about $6,709 in cash — above the fair price. Located in Burlington, MA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $4,959. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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
Blue Cross Blue Shieldmajor $6,218 - $8,711 155%
Aetnamajor $4,692 117%
Cignamajor $1,796 45%
Harvard Pilgrim $7,502 188%

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 41 & 45 Mall Road, Burlington, MA 01803
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals