CMS Price Transparency Data

Breast lump removal

Facility: Shore Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$4,165
about 1.0× the $4,000 Medicare rate · typically $3,333–$4,876
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,185
About the fair price
about $20 over the fair price · 1.0× Medicare
Medicare pays $4,000 Fair price $4,165 This hospital $4,185 Cash price $4,813 Hospital's list price $5,163

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 $4,165 (about 1.0× the $4,000 Medicare rate). Shore Medical Center charges insurers about $4,185, or about $4,813 in cash — about the fair price. Located in Somers Point, NJ.

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 $507 - $4,736 13%
Blue Cross Blue Shieldmajor $3,575 - $4,055 89%
Aetnamajor $362 - $20,506 9%
Cignamajor $9,936 248%
AmeriHealth $2,100 - $4,185 52%
Clover Health $4,185 105%
Fidelis Care $507 - $988 13%
+ 2 smaller / regional plans $507 - $6,825

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Facility Profile & Credentials

  • Address: 100 Medical Center Way, Somers Point, NJ 08244
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals