Breast lump removal
Facility: St James Hospital
Billing Code: 19120 (CPT)
A typical price — 4 charge more and 3 charge less, among the 9 NY hospitals compared.
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 $617 (about 0.2× the $4,000 Medicare rate). St James Hospital charges insurers about $488 — below the fair price — a good deal. Located in Hornell, NY.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
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 | $359 - $5,235 | 9% |
| Blue Cross Blue Shieldmajor | $153 - $11,702 | 4% |
| Aetnamajor | $321 - $5,235 | 8% |
| Cignamajor | $491 - $11,773 | 12% |
| Humanamajor | $5,235 | 131% |
| CDPHP | $1,018 - $1,267 | 25% |
| Fidelis Care | $304 - $443 | 8% |
| MVP Health Care | $356 - $11,364 | 9% |
| + 1 smaller / regional plan | $11,045 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at St James Hospital
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
- F F Thompson Hospital · Canandaigua $504
- Nicholas H Noyes Memorial Hospital · Dansville $510
- Westfield Memorial Hospital Inc · Westfield $510
- Jones Memorial Hospital · Wellsville $533
Insurance negotiated median for the same procedure, sorted lowest first.