CMS Price Transparency Data
Breast lump removal
Facility: Samaritan Hospital of Troy, New York
Billing Code: 19120 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$1,441
about 0.4× the $4,000 Medicare rate · typically $525–$4,052
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $1,441 Hospital's list price $996
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 | $930 - $12,754 | 23% |
| Blue Cross Blue Shieldmajor | $187 - $11,246 | 5% |
| Aetnamajor | $222 - $5,600 | 6% |
| Cignamajor | $930 - $5,494 | 23% |
| Humanamajor | $188 - $1,860 | 5% |
| Kaiser Permanentemajor | $930 - $1,860 | 23% |
| Ambetter (Centene) | $930 - $1,860 | 23% |
| AmeriHealth | $930 - $1,860 | 23% |
| AvMed | $930 - $1,860 | 23% |
| Bright Health | $930 - $1,860 | 23% |
| CareSource | $930 - $1,860 | 23% |
| Clover Health | $930 - $1,860 | 23% |
| Dean Health Plan | $930 - $1,860 | 23% |
| Fidelis Care | $930 - $8,798 | 23% |
| Friday Health | $930 - $1,860 | 23% |
| GEHA | $930 - $5,600 | 23% |
| Geisinger | $930 - $1,860 | 23% |
| Harvard Pilgrim | $930 - $12,754 | 23% |
| Health Net | $930 - $1,860 | 23% |
| HealthLink | $930 - $1,860 | 23% |
| HealthPartners | $930 - $5,494 | 23% |
| Independent Health | $930 - $1,860 | 23% |
| MagnaCare | $930 - $1,860 | 23% |
| Medica | $930 - $1,860 | 23% |
| Medical Mutual | $930 - $5,600 | 23% |
| Meridian | $930 - $1,860 | 23% |
| Moda Health | $930 - $1,860 | 23% |
| Molina | $930 - $1,860 | 23% |
| MVP Health Care | $930 - $6,313 | 23% |
| Oscar Health | $930 - $1,860 | 23% |
| PacificSource | $930 - $1,860 | 23% |
| Paramount | $930 - $1,860 | 23% |
| Presbyterian | $930 - $1,860 | 23% |
| Priority Health | $930 - $5,494 | 23% |
| Providence Health Plan | $930 - $1,860 | 23% |
| Sanford Health Plan | $930 - $1,860 | 23% |
| Security Health Plan | $930 - $1,860 | 23% |
| SelectHealth | $930 - $1,860 | 23% |
| Sentara | $930 - $1,860 | 23% |
| Tufts Health Plan | $930 - $5,494 | 23% |
| UCare | $930 - $1,860 | 23% |
| UniCare | $930 - $11,246 | 23% |
| UPMC Health Plan | $930 - $1,860 | 23% |
| WellCare | $930 - $1,860 | 23% |
| WellMed | $930 - $1,860 | 23% |
| WellSense | $930 - $1,860 | 23% |
| + 1048 smaller / regional plans | $176 - $11,246 |
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 42 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Samaritan Hospital of Troy, New York
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.