CMS Price Transparency Data

Breast lump removal

Facility: Person Memorial Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$3,389
about 0.8× the $4,000 Medicare rate · typically $599–$7,456
modeled estimate · not a bill or quote
What this hospital charges insurers
$5,780
Above the fair price
about $2,391 over the fair price · 1.4× Medicare
Medicare pays $4,000 Fair price $3,389 This hospital $5,780 Cash price $13,731 Hospital's list price $34,328

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 $5,780

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 $3,389 (about 0.8× the $4,000 Medicare rate). Person Memorial Hospital charges insurers about $5,780, or about $13,731 in cash — above the fair price. Located in Roxboro, NC.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $3,389. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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✓ Aetna Blue Cross Blue ShieldCignaHumanaKaiser 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 $5,360 - $6,914 134%
Aetnamajor $5,780 144%

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.

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Facility Profile & Credentials

  • Address: 615 Ridge Rd, Roxboro, NC 27573
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals