CMS Price Transparency Data
Breast lump removal
Facility: Ellis Hospital
Billing Code: 19120 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$2,315
about 0.6× the $4,000 Medicare rate · typically $783–$5,250
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $2,315 Cash price $2,411 Hospital's list price $4,821
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 | $1,078 - $6,635 | 27% |
| Blue Cross Blue Shieldmajor | $2,043 - $6,702 | 51% |
| Aetnamajor | $1,119 - $7,050 | 28% |
| CDPHP | $2,140 - $5,350 | 53% |
| MVP Health Care | $7,850 | 196% |
| + 6 smaller / regional plans | $674 - $9,873 |
Government programs also on file: Medicare, Military & VA.
Self-Pay How to get the cash price
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Other Procedures at Ellis 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
- 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.