CMS Price Transparency Data
Breast lump removal
Facility: Ecu Health Medical Center
Billing Code: 19120 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$3,160
about 0.8× the $4,000 Medicare rate · typically $889–$3,882
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $3,160 Cash price $7,233 Hospital's list price $13,648
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 | $392 | 10% |
| Blue Cross Blue Shieldmajor | $384 | 10% |
| Aetnamajor | $3,772 - $7,738 | 94% |
| Cignamajor | $9,554 - $13,512 | 239% |
| Humanamajor | $384 | 10% |
| + 2 smaller / regional plans | $403 - $499 |
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Ecu Health Medical Center
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.