CMS Price Transparency Data

Breast lump removal

Facility: Atlanticare Regional Medical Center - City Campus

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$4,185

about 1.0× the $4,000 Medicare rate · typically $2,931–$5,264

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,714

Below the fair price — a good deal

about $1,471 under the fair price · 0.7× Medicare

Medicare pays $4,000 Fair price $4,185 This hospital $2,714 Hospital's list price $4,671

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

One of the lower prices — 7 of 8 other NJ hospitals charge more for the same procedure.

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 $4,185 (about 1.0× the $4,000 Medicare rate). Atlanticare Regional Medical Center - City Campus charges insurers about $2,714 — below the fair price — a good deal. Located in Atlantic City, 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	$140 - $3,316	3%
Blue Cross Blue Shieldmajor	$2,824	71%
Aetnamajor	$1,336 - $3,737	33%
Cignamajor	$1,960	49%
AmeriHealth	$3,003 - $3,499	75%
Devoted Health	$4,537	113%
Health Net	$3,270 - $4,437	82%
HealthPartners	$8,810	220%
MagnaCare	$1,868 - $4,204	47%
WellCare	$645	16%
+ 27 smaller / regional plans	$649 - $4,671

Government programs also on file: Military & VA.

Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 19120.

Insurance Before you use insurance

Call your insurance company to confirm Atlanticare Regional Medical Center - City Campus is in-network.
Ask your insurer whether prior approval is required for CPT code 19120.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Atlanticare Regional Medical Center - City Campus

Compare: Breast lump removal at other NJ hospitals

Insurance negotiated median for the same procedure, sorted lowest first.