CMS Price Transparency Data

Breast lump removal

Facility: Trinitas Regional Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$4,548
about 1.1× the $4,000 Medicare rate · typically $3,388–$5,441
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,185
About the fair price
about $363 under the fair price · 1.0× Medicare
Medicare pays $4,000 Fair price $4,548 This hospital $4,185 Cash price $5,855

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

A typical price — 0 charge more and 3 charge less, among the 9 NJ hospitals compared.

Cheapest $808 Priciest $4,185

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

A fair price for a Breast lump removal is about $4,548 (about 1.1× the $4,000 Medicare rate). Trinitas Regional Medical Center charges insurers about $4,185, or about $5,855 in cash — about the fair price. Located in Elizabeth, NJ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $3,811 - $5,045 95%
Blue Cross Blue Shieldmajor $269 - $17,512 7%
Aetnamajor $2,612 - $4,185 65%
Cignamajor $2,952 - $3,109 74%
Humanamajor $4,185 105%
AmeriHealth $1,978 49%
Clover Health $4,185 105%
Fidelis Care $4,185 105%
WellCare $8,328 208%
+ 1 smaller / regional plan $8,370

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Facility Profile & Credentials

  • Address: 225 Williamson Street, Elizabeth, NJ 07207
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals