CMS Price Transparency Data
Breast lump removal
Facility: High Point Regional Health System
Billing Code: 19120 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$6,979
about 1.7× the $4,000 Medicare rate · typically $1,326–$8,189
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $6,979 Cash price $2,990 Hospital's list price $5,979
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 | $876 - $7,895 | 22% |
| Blue Cross Blue Shieldmajor | $1,846 - $2,963 | 46% |
| Aetnamajor | $1,782 - $3,886 | 45% |
| Cignamajor | $3,282 | 82% |
| Humanamajor | $5,560 - $5,680 | 139% |
| Ambetter (Centene) | $1,913 | 48% |
| AmeriHealth | $867 - $1,941 | 22% |
| Oscar Health | $1,794 - $2,392 | 45% |
| WellCare | $876 | 22% |
| + 7 smaller / regional plans | $867 - $3,534 |
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at High Point Regional Health System
Compare: Breast lump removal at other NC hospitals
- Hugh Chatham Memorial Hospital · Elkin $469
- Duke University Hospital · Durham $565
- Angel Medical Center · Franklin $2,800
- Frye Regional Medical Center · Hickory $3,214
- Central Carolina Hospital · Sanford $3,425
- Columbus Regional Healthcare System · Whiteville $3,610
- Wakemed, Raleigh Campus · Raleigh $3,702
- Wakemed, Cary Hospital · Cary $3,702
Insurance negotiated median for the same procedure, sorted lowest first.