CMS Price Transparency Data
Breast lump removal
Facility: Cape Fear Valley Hoke Hospital
Billing Code: 19120 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$3,359
about 0.8× the $4,000 Medicare rate · typically $1,769–$4,145
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $3,359 Hospital's list price $1
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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 | $3,957 | 99% |
| Aetnamajor | $3,957 - $9,698 | 99% |
| Cignamajor | $3,957 | 99% |
| Humanamajor | $3,879 - $4,267 | 97% |
| Ambetter (Centene) | $5,819 - $7,758 | 145% |
| WellCare | $3,879 | 97% |
| + 4 smaller / regional plans | $3,879 - $4,073 |
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Cape Fear Valley Hoke Hospital
Compare: Breast lump removal at other NC hospitals
- Hugh Chatham Memorial Hospital · Elkin $469
- Duke University Hospital · Durham $565
- Angel Medical Center · Franklin $2,800
- Frye Regional Medical Center · Hickory $3,214
- Central Carolina Hospital · Sanford $3,425
- Columbus Regional Healthcare System · Whiteville $3,610
- Wakemed, Raleigh Campus · Raleigh $3,702
- Wakemed, Cary Hospital · Cary $3,702
Insurance negotiated median for the same procedure, sorted lowest first.