CMS Price Transparency Data

Breast lump removal

Facility: York Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,048
about 0.3× the $4,000 Medicare rate · typically $579–$2,457
modeled estimate · not a bill or quote
What this hospital charges insurers
$575
Below the fair price — a good deal
about $473 under the fair price · 0.1× Medicare
Medicare pays $4,000 Fair price $1,048 This hospital $575 Cash price $658 Hospital's list price $1,097

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

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

Cheapest $575 Priciest $844

Black dot = this hospital, among the 9 ME hospitals with a price for this procedure. Full list below.

A fair price for a Breast lump removal is about $1,048 (about 0.3× the $4,000 Medicare rate). York Hospital charges insurers about $575, or about $658 in cash — below the fair price — a good deal. Located in York, ME.

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✓ Aetna✓ Cigna Blue 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
UnitedHealthcaremajor $575 14%
Aetnamajor $401 10%
Cignamajor $492 12%
Harvard Pilgrim $649 16%
+ 1 smaller / regional plan $613
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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: 15 Hospital Drive, York, ME 03909
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals