CMS Price Transparency Data

Breast lump removal

Facility: St Vincent Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$4,212
about 1.1× the $4,000 Medicare rate · typically $774–$5,645
modeled estimate · not a bill or quote
What this hospital charges insurers
$922
Below the fair price — a good deal
about $3,290 under the fair price · 0.2× Medicare
Medicare pays $4,000 Fair price $4,212 This hospital $922

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

Lowest price of the 9 MA hospitals we have prices for — a strong deal.

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 $4,212 (about 1.1× the $4,000 Medicare rate). St Vincent Hospital charges insurers about $922 — below the fair price — a good deal. Located in Worcester, MA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ Aetna✓ Cigna UnitedHealthcareBlue Cross Blue ShieldHumanaKaiser 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
Aetnamajor $10,123 253%
Cignamajor $7,148 - $13,066 179%
Health Net $922 23%
+ 1 smaller / regional plan $922
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 123 Summer Street, Worcester, MA 01608
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals