CMS Price Transparency Data

Breast lump removal

Facility: Frye Regional Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,288
about 0.8× the $4,000 Medicare rate · typically $1,500–$4,431
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,214
About the fair price
about $74 under the fair price · 0.8× Medicare
Medicare pays $4,000 Fair price $3,288 This hospital $3,214 Cash price $6,324 Hospital's list price $15,810

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

A typical price — 5 charge more and 3 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 $3,288 (about 0.8× the $4,000 Medicare rate). Frye Regional Medical Center charges insurers about $3,214, or about $6,324 in cash — about the fair price. Located in Hickory, 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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $2,803 - $5,815 70%
Blue Cross Blue Shieldmajor $1,193 - $2,099 30%
AmeriHealth $8,815 220%

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Facility Profile & Credentials

  • Address: 420 N Center St, Hickory, NC 28601
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals