CMS Price Transparency Data

Breast lump removal

Facility: Elmhurst Hospital Center

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$2,646
about 0.7× the $4,000 Medicare rate · typically $1,337–$4,319
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,346
Below the fair price — a good deal
about $300 under the fair price · 0.6× Medicare
Medicare pays $4,000 Fair price $2,646 This hospital $2,346 Hospital's list price $5,508

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 $2,346

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 $2,646 (about 0.7× the $4,000 Medicare rate). Elmhurst Hospital Center charges insurers about $2,346 — below the fair price — a good deal. Located in Elmhurst, 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✓ 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 $1,877 - $3,774 47%
Blue Cross Blue Shieldmajor $1,877 - $4,531 47%
Aetnamajor $367 - $2,489 9%
Cignamajor $4,285 107%
Fidelis Care $693 - $6,435 17%
MagnaCare $4,131 103%
Oscar Health $4,454 111%
WellCare $519 13%
+ 14 smaller / regional plans $385 - $5,664
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 79-01 Broadway, Elmhurst, NY 11373
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals