CMS Price Transparency Data

Breast lump removal

Facility: Portsmouth Regional Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$6,168
about 1.5× the $4,000 Medicare rate · typically $2,915–$7,740
modeled estimate · not a bill or quote
What this hospital charges insurers
$6,290
About the fair price
about $122 over the fair price · 1.6× Medicare
Medicare pays $4,000 Fair price $6,168 This hospital $6,290

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

On the higher side — 7 of 8 other NH hospitals charge less.

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 $6,168 (about 1.5× the $4,000 Medicare rate). Portsmouth Regional Hospital charges insurers about $6,290 — about the fair price. Located in Portsmouth, NH.

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✓ Cigna UnitedHealthcareAetnaHumanaKaiser 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 $4,686 - $6,290 117%
Cignamajor $14,433 - $16,924 361%

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 333 Borthwick Ave, Portsmouth, NH 03801
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals