CMS Price Transparency Data

Breast lump removal

Facility: Cheshire Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,845

about 0.5× the $4,000 Medicare rate · typically $1,175–$2,432

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,176

Below the fair price — a good deal

about $669 under the fair price · 0.3× Medicare

Medicare pays $4,000 Fair price $1,845 This hospital $1,176 Cash price $1,086 Hospital's list price $3,934

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

One of the lower prices — 7 of 8 other NH hospitals charge more for the same procedure.

Cheapest $484 Priciest $7,265

Black dot = this hospital, among the 9 NH hospitals with a price for this procedure. Full list below.

A fair price for a Breast lump removal is about $1,845 (about 0.5× the $4,000 Medicare rate). Cheshire Medical Center charges insurers about $1,176, or about $1,086 in cash — below the fair price — a good deal. Located in Keene, NH.

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✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$306 - $6,030	8%
Blue Cross Blue Shieldmajor	$306 - $12,986	8%
Aetnamajor	$303 - $4,001	8%
Cignamajor	$306 - $6,053	8%
Ambetter (Centene)	$306 - $3,557	8%
AmeriHealth	$373 - $513	9%
Harvard Pilgrim	$782 - $6,840	20%
MVP Health Care	$306 - $6,053	8%
Tufts Health Plan	$1,209 - $2,678	30%
WellCare	$306 - $4,001	8%
WellSense	$306 - $4,281	8%
+ 5 smaller / regional plans	$306 - $4,195

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,086), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 19120.

Insurance Before you use insurance

Call your insurance company to confirm Cheshire Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 19120.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Cheshire Medical Center

Compare: Breast lump removal at other NH hospitals

New London Hospital · New London $484
Mary Hitchcock Memorial Hospital · Lebanon $1,383
Northeast Rehabilitation Hospital Network · Salem $3,022
Frisbie Memorial Hospital · Rochester $3,851
Catholic Medical Center · Manchester $4,936
Elliot Hospital · Manchester $5,027
Portsmouth Regional Hospital · Portsmouth $6,290
Parkland Medical Center · Derry $7,265

Insurance negotiated median for the same procedure, sorted lowest first.