CMS Price Transparency Data

Breast lump removal

Facility: Wyandotte Hospital and Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$503
about 0.1× the $4,000 Medicare rate · typically $154–$1,470
modeled estimate · not a bill or quote
What this hospital charges insurers
$511
About the fair price
about $8 over the fair price · 0.1× Medicare
Medicare pays $4,000 Fair price $503 This hospital $511 Hospital's list price $3,328

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

On the higher side — 6 of 8 other MI hospitals charge less.

Cheapest $445 Priciest $521

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

A fair price for a Breast lump removal is about $503 (about 0.1× the $4,000 Medicare rate). Wyandotte Hospital and Medical Center charges insurers about $511 — about the fair price. Located in Wyandotte, MI.

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 $445 - $3,752 11%
Blue Cross Blue Shieldmajor $445 - $3,752 11%
Aetnamajor $238 - $4,127 6%
Cignamajor $724 - $2,243 18%
Humanamajor $367 - $3,328 9%
AmeriHealth $272 - $3,677 7%
CareSource $272 - $3,752 7%
Meridian $238 - $3,328 6%
Molina $283 - $3,752 7%
Priority Health $238 - $3,752 6%
WellCare $445 - $3,789 11%
+ 14 smaller / regional plans $238 - $8,629
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2333 Biddle Ave, Wyandotte, MI 48192
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals