CMS Price Transparency Data
Breast lump removal
Facility: United Memorial Medical Center
Billing Code: 19120 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$546
about 0.1× the $4,000 Medicare rate · typically $412–$2,974
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $546 Cash price $1,057 Hospital's list price $1,057
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 | $166 - $511 | 4% |
| Blue Cross Blue Shieldmajor | $258 - $495 | 6% |
| Aetnamajor | $340 - $3,414 | 8% |
| Fidelis Care | $460 | 11% |
| Independent Health | $351 - $596 | 9% |
| Molina | $352 - $414 | 9% |
| MVP Health Care | $60 - $577 | 1% |
Government programs also on file: Medicare.
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Other Procedures at United Memorial Medical Center
Compare: Breast lump removal at other NY hospitals
- The University of Vermont Health Network-Alice Hy · Malone $467
- Mercy Hospital of Buffalo · Buffalo $481
- Saratoga Hospital · Saratoga Springs $486
- Bertrand Chaffee Hospital · Springville $488
- St James Hospital · Hornell $488
- F F Thompson Hospital · Canandaigua $504
- Nicholas H Noyes Memorial Hospital · Dansville $510
- Westfield Memorial Hospital Inc · Westfield $510
Insurance negotiated median for the same procedure, sorted lowest first.