CMS Price Transparency Data

Breast lump removal

Facility: Penobscot Valley Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$572
about 0.1× the $4,000 Medicare rate · typically $442–$1,340
modeled estimate · not a bill or quote
What this hospital charges insurers
$638
About the fair price
about $66 over the fair price · 0.2× Medicare
Medicare pays $4,000 Fair price $572 This hospital $638 Cash price $1,207 Hospital's list price $1,509

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

One of the lower prices — 6 of 8 other ME hospitals charge more for the same procedure.

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 $572 (about 0.1× the $4,000 Medicare rate). Penobscot Valley Hospital charges insurers about $638, or about $1,207 in cash — about the fair price. Located in Lincoln, ME.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $424 - $723 11%
Blue Cross Blue Shieldmajor $437 - $538 11%
Aetnamajor $608 - $1,477 15%
Cignamajor $1,391 - $1,446 35%
Humanamajor $428 - $595 11%
Harvard Pilgrim $669 - $1,469 17%
WellCare $372 - $523 9%
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 7 Transalpine Road, Po Box 368, Lincoln, ME 04457
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals