CMS Price Transparency Data

Breast lump removal

Facility: Sentara Albemarle Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,415
about 0.9× the $4,000 Medicare rate · typically $1,950–$3,874
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,780
About the fair price
about $365 over the fair price · 0.9× Medicare
Medicare pays $4,000 Fair price $3,415 This hospital $3,780 Cash price $4,174 Hospital's list price $8,347

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 $3,780

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 $3,415 (about 0.9× the $4,000 Medicare rate). Sentara Albemarle Medical Center charges insurers about $3,780, or about $4,174 in cash — about the fair price. Located in Elizabeth City, NC.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Humana UnitedHealthcareAetnaCignaKaiser 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
Blue Cross Blue Shieldmajor $3,742 94%
Humanamajor $3,817 95%

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Facility Profile & Credentials

  • Address: 3050 Halstead Blvd Ext, Elizabeth City, NC 27909
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals