Breast lump removal
Facility: Chilton Medical Center
Billing Code: 19120 (CPT)
- CPT Billing Code: 19120
- Insurance Median: $4,443
- Cash Discount Price: $5,110
- vs. Medicare Baseline: 1.11x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Wtc Health Program [5273] | $849 | 21% |
| Horizon Nj Health [5021] | $2,264 | 57% |
| Amerihealth [5008] | $3,936 - $4,841 | 98% |
| Wellcare Health Plans [5269] | $4,443 | 111% |
| Tricare | $4,443 | 111% |
| Amerihealth Administrators Supplemental [5512] | $4,443 | 111% |
| Fairos [5491] | $4,443 | 111% |
| Claimdoc [5434] | $4,443 | 111% |
| Ambetter / Centene | $4,443 | 111% |
| Karen Ann Quinlan [5285] | $4,443 | 111% |
| Blue Cross Blue Shield | $4,443 | 111% |
| Aetna | $4,443 - $6,220 | 111% |
| UPMC [5455] | $4,443 | 111% |
| VA Community Care Network [5403] | $4,443 | 111% |
| Medicaid / KanCare | $4,443 | 111% |
| Claim Watcher/Homestead [5488] | $4,443 | 111% |
| Cosmetic Surgery/Lap Band/Gastric Bypass [5289] | $4,443 | 111% |
| Highmark Wholecare Health Plan Ip Splits [5464] | $4,443 | 111% |
| Amerihealth Medigap [5049] | $4,443 | 111% |
| Specialty Imaging [5433] | $4,443 | 111% |
| Champva [5354] | $4,443 | 111% |
| Medicare (plans) | $4,443 - $4,599 | 111% |
| Us Family Health Plan [5258] | $4,443 | 111% |
| Luminare Health AHS Retiree [5013] | $4,443 | 111% |
| Sedgwick Wtc Health Program Wc [5514] | $4,443 | 111% |
| Wellcare Behavioral Health [5335] | $4,443 | 111% |
| Highmark Wholecare Health Plan [5413] | $4,443 | 111% |
| Wellcare Health Plans Ip Splits [5475] | $4,443 | 111% |
| Cigna | $4,443 | 111% |
| Amerihealth Caritas Vip Care [5313] | $4,488 | 112% |
| Amerihealth Caritas Vip Care Ip Splits [5460] | $4,488 | 112% |
| Kindred Giralda Hospital [5341] | $4,888 | 122% |
| Progressive No Fault [5229] | $6,949 | 174% |
| High Point No Fault [5146] | $6,949 | 174% |
| Zurich No Fault [5274] | $6,949 | 174% |
| Hanover No Fault [5129] | $6,949 | 174% |
| Geico No Fault [5120] | $6,949 | 174% |
| State Farm No Fault [5241] | $6,949 | 174% |
| Travelers No Fault [5249] | $6,949 | 174% |
| Esurance No Fault [5105] | $6,949 | 174% |
| Allstate [5047] | $6,949 | 174% |
| Plymouth Rock Assurance No Fault [5222] | $6,949 | 174% |
| Nj Manufacturers No Fault [5203] | $6,949 | 174% |
| Medlogix/Consumer Health Network Pip (Chn) [5414] | $6,949 | 174% |
| Liberty Mutual No Fault [5173] | $6,949 | 174% |
| Usaa No Fault [5260] | $6,949 | 174% |
| Kessler Foundation [5532] | $12,000 | 300% |