CMS Price Transparency Data
Breast lump removal
Facility: Adirondack Medical Center - Saranac Lake
Billing Code: 19120 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$2,658
about 0.7× the $4,000 Medicare rate · typically $947–$4,608
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $2,658 Cash price $616 Hospital's list price $994
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
✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $569 - $13,346 | 14% |
| Aetnamajor | $5,130 | 128% |
| Cignamajor | $795 | 20% |
| CDPHP | $5,130 | 128% |
| MVP Health Care | $795 | 20% |
| WellCare | $5,232 | 131% |
| + 1 smaller / regional plan | $5,130 |
Government programs also on file: Medicare, Military & VA.
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Other Procedures at Adirondack Medical Center - Saranac Lake
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.