CMS Price Transparency Data

Breast lump removal

Facility: Northeast Rehabilitation Hospital Network

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,316
about 0.3× the $4,000 Medicare rate · typically $575–$3,378
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,022
Well above the fair price
about $1,706 over the fair price · 0.8× Medicare
Medicare pays $4,000 Fair price $1,316 This hospital $3,022

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

A typical price — 5 charge more and 3 charge less, among the 9 NH hospitals compared.

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 $1,316 (about 0.3× the $4,000 Medicare rate). Northeast Rehabilitation Hospital Network charges insurers about $3,022 — well above the fair price. Located in Salem, NH.

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 $1,316. 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.

1 of 6 major insurers have a published price at this hospital

✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser 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
Aetnamajor $4,181 105%
Harvard Pilgrim $1,863 47%

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: 70 Butler St, Salem, NH 03079
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL