Breast lump removal
Facility: Pender Memorial Hospital
Billing Code: 19120 (CPT)
Highest price of the 9 NC hospitals we have prices for — worth calling around.
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 $1,374 (about 0.3× the $4,000 Medicare rate). Pender Memorial Hospital charges insurers about $5,349, or about $3,883 in cash — well above the fair price. Located in Burgaw, 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 $1,374. 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.
5 of 6 major insurers have a published price at this hospital
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 | $6,298 | 157% |
| Blue Cross Blue Shieldmajor | $2,330 - $6,212 | 58% |
| Aetnamajor | $2,388 - $7,334 | 60% |
| Cignamajor | $2,399 - $3,805 | 60% |
| Humanamajor | $2,213 - $7,420 | 55% |
| Ambetter (Centene) | $3,261 | 82% |
| AmeriHealth | $2,472 | 62% |
| CareSource | $3,451 | 86% |
| WellCare | $2,472 | 62% |
| + 7 smaller / regional plans | $2,330 - $8,369 |
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.
Other Procedures at Pender Memorial 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.