CMS Price Transparency Data

Breast lump removal

Facility: Wakemed, Cary Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,713
about 0.9× the $4,000 Medicare rate · typically $2,955–$3,792
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,702
About the fair price
about $11 under the fair price · 0.9× Medicare
Medicare pays $4,000 Fair price $3,713 This hospital $3,702

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

On the higher side — 6 of 8 other NC hospitals charge less.

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 $3,713 (about 0.9× the $4,000 Medicare rate). Wakemed, Cary Hospital charges insurers about $3,702 — about the fair price. Located in Cary, 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✓ Aetna UnitedHealthcareCignaHumanaKaiser 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 $675 - $3,702 17%
Aetnamajor $3,702 93%
Ambetter (Centene) $726 - $3,625 18%
WellCare $4,442 111%
+ 3 smaller / regional plans $3,887 - $4,442

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Facility Profile & Credentials

  • Address: 1900 Kildare Farm Road, Cary, NC 27518
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals