CMS Price Transparency Data

Breast lump removal

Facility: Novant Health Forsyth Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,799
about 0.9× the $4,000 Medicare rate · typically $3,155–$3,799
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,845
About the fair price
about $46 over the fair price · 1.0× Medicare
Medicare pays $4,000 Fair price $3,799 This hospital $3,845

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

Highest price of the 9 NC hospitals we have prices for — worth calling around.

Cheapest $469 Priciest $3,845

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

A fair price for a Breast lump removal is about $3,799 (about 0.9× the $4,000 Medicare rate). Novant Health Forsyth Medical Center charges insurers about $3,845 — about the fair price. Located in Winston-Salem, NC.

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 $3,797 95%
Blue Cross Blue Shieldmajor $3,797 95%
Aetnamajor $3,892 97%
Cignamajor $3,911 98%
Humanamajor $3,797 95%
+ 3 smaller / regional plans $3,797 - $7,595

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Facility Profile & Credentials

  • Address: 3333 Silas Creek Parkway, Winston-Salem, NC 27103
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals