CMS Price Transparency Data

Breast lump removal

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 19120 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 19120
Insurance Median: $1,652
Cash Discount Price: $1,407
vs. Medicare Baseline: 0.41x Medicare

The contracted insurance negotiated median rate for a Breast lump removal at Mary Hitchcock Memorial Hospital is $1,652. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,407. Compared to the federal Medicare reimbursement reference rate of $4,000.24, this hospital’s rate is 0.41x the Medicare baseline. Located in 1 Medical Center Drive, Lebanon, NH.

Cash / Self-Pay

$1,407

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,652

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$4,000.24

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $4,000.24 (100%)

Cash / Self-Pay: $1,407 (35%)

Insurance Median: $1,652 (41%)

Cash: $1,407 (35% of Medicare)

Ins. Median: $1,652 (41% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $4,000.24 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Granite State Health Plan	$82 - $695	2%
Blue Cross Blue Shield	$294 - $16,673	7%
Martin'S Point Generations Advantage	$294 - $4,285	7%
Mvp	$294 - $4,371	7%
UnitedHealthcare	$294 - $9,197	7%
Aetna	$303 - $4,414	8%
Cigna	$303 - $7,233	8%
Wellsense Health Plan	$303 - $4,499	8%
Wellcare Health Plans	$306 - $4,457	8%
Harvard Pilgrim Health Care Of Ne	$307 - $12,194	8%
Ambetter / Centene	$309 - $9,219	8%
Amerihealth Caritas Nh	$373 - $626	9%
Beacon Health Strategies/Carelon	$373 - $674	9%
Martin'S Point Health Care	$375 - $4,285	9%
Mass General Brigham Health Plan	$1,137 - $3,436	28%
Tufts Health Plan	$1,317 - $3,223	33%
Maine Community Health Options	$2,339 - $4,060	58%
Coventry	$3,195 - $4,806	80%
First Health/Hcvm	$3,195 - $4,806	80%
Phcs	$3,305 - $4,972	83%
Corvel	$3,378 - $5,082	84%
Ccmsi	$3,488 - $5,248	87%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,407.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 19120.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mary Hitchcock Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 19120.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.