CMS Price Transparency Data

Breast lump removal

Facility: Novant Health New Hanover Regional Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$3,749
about 0.9× the $4,000 Medicare rate · typically $705–$4,612
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,000
About the fair price
about $251 over the fair price · 1.0× Medicare
Medicare pays $4,000 Fair price $3,749 This hospital $4,000

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 $4,000

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 $3,749 (about 0.9× the $4,000 Medicare rate). Novant Health New Hanover Regional Medical Center charges insurers about $4,000 — about the fair price. Located in Wilmington, 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 $3,928 - $4,000 98%
Blue Cross Blue Shieldmajor $3,921 98%
Aetnamajor $4,019 - $5,724 100%
Cignamajor $4,039 101%
Humanamajor $3,843 - $3,921 96%
Ambetter (Centene) $9,449 236%
+ 4 smaller / regional plans $3,921 - $7,843

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 2131 S 17Th St, Wilmington, NC 28402
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals