CMS Price Transparency Data

Breast lump removal

Facility: Arnot Ogden Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$2,041
about 0.5× the $4,000 Medicare rate · typically $1,007–$2,658
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,710
Below the fair price — a good deal
about $331 under the fair price · 0.4× Medicare
Medicare pays $4,000 Fair price $2,041 This hospital $1,710

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 $1,710

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 $2,041 (about 0.5× the $4,000 Medicare rate). Arnot Ogden Medical Center charges insurers about $1,710 — below the fair price — a good deal. Located in Elmira, NY.

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 $1,710 43%
Blue Cross Blue Shieldmajor $1,710 - $4,000 43%
Aetnamajor $1,710 - $4,000 43%
AmeriHealth $173 - $833 4%
Fidelis Care $1,710 - $4,400 43%
Geisinger $1,710 - $4,080 43%
+ 2 smaller / regional plans $385 - $1,710

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Facility Profile & Credentials

  • Address: 600 Roe Avenue, Elmira, NY 14905
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals