CMS Price Transparency Data

Breast lump removal

Facility: St Luke's Warren Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$4,382
about 1.1× the $4,000 Medicare rate · typically $2,837–$5,385
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,386
About the fair price
about $4 over the fair price · 1.1× Medicare
Medicare pays $4,000 Fair price $4,382 This hospital $4,386

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

Highest price of the 9 NJ hospitals we have prices for — worth calling around.

Cheapest $808 Priciest $4,386

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 $4,382 (about 1.1× the $4,000 Medicare rate). St Luke's Warren Hospital charges insurers about $4,386 — about the fair price. Located in Phillipsburg, 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 $4,217 105%
Blue Cross Blue Shieldmajor $4,217 - $16,706 105%
Aetnamajor $4,301 108%
Cignamajor $1,350 34%
Humanamajor $4,386 110%
AmeriHealth $208 5%
Geisinger $204 - $4,301 5%
UPMC Health Plan $208 - $4,428 5%

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: 185 Roseberry St, Phillipsburg, NJ 08865
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals