CMS Price Transparency Data

Breast lump removal

Facility: Nassau University Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$3,302
about 0.8× the $4,000 Medicare rate · typically $1,123–$5,275
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,633
Below the fair price — a good deal
about $1,669 under the fair price · 0.4× Medicare
Medicare pays $4,000 Fair price $3,302 This hospital $1,633

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

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

Cheapest $467 Priciest $1,633

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

A fair price for a Breast lump removal is about $3,302 (about 0.8× the $4,000 Medicare rate). Nassau University Medical Center charges insurers about $1,633 — below the fair price — a good deal. Located in East Meadow, NY.

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✓ Humana CignaKaiser 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 $4,531 113%
Blue Cross Blue Shieldmajor $428 - $4,531 11%
Aetnamajor $404 - $4,531 10%
Humanamajor $594 - $4,531 15%
EmblemHealth $880 - $4,305 22%
Fidelis Care $503 - $4,849 13%
Molina $428 11%
+ 2 smaller / regional plans $503 - $4,531

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Facility Profile & Credentials

  • Address: 2201 Hempstead Turnpike, East Meadow, NY 11554
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals