CMS Price Transparency Data

Breast lump removal

Facility: Central Carolina Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$3,551
about 0.9× the $4,000 Medicare rate · typically $1,508–$5,955
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,425
About the fair price
about $126 under the fair price · 0.9× Medicare
Medicare pays $4,000 Fair price $3,551 This hospital $3,425 Cash price $6,248 Hospital's list price $15,621

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

A typical price — 4 charge more and 4 charge less, among the 9 NC hospitals compared.

Cheapest $469 Priciest $3,707

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 $3,551 (about 0.9× the $4,000 Medicare rate). Central Carolina Hospital charges insurers about $3,425, or about $6,248 in cash — about the fair price. Located in Sanford, NC.

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✓ Humana Blue Cross Blue ShieldCignaKaiser 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 $1,957 49%
Aetnamajor $3,494 87%
Humanamajor $3,425 86%
Ambetter (Centene) $4,361 109%
+ 1 smaller / regional plan $1,275

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Facility Profile & Credentials

  • Address: 1135 Carthage St, Sanford, NC 27330
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals