CMS Price Transparency Data

Breast lump removal

Facility: Glens Falls Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$476
about 0.1× the $4,000 Medicare rate · typically $476–$2,314
modeled estimate · not a bill or quote
What this hospital charges insurers
$547
About the fair price
about $71 over the fair price · 0.1× Medicare
Medicare pays $4,000 Fair price $476 This hospital $547 Cash price $1,000 Hospital's list price $2,000

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 $547

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 $476 (about 0.1× the $4,000 Medicare rate). Glens Falls Hospital charges insurers about $547, or about $1,000 in cash — about the fair price. Located in Glens Falls, 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 $293 - $5,299 7%
Blue Cross Blue Shieldmajor $302 - $6,259 8%
Aetnamajor $391 - $4,577 10%
Cignamajor $574 - $842 14%
CDPHP $266 - $5,662 7%
Fidelis Care $391 - $4,231 10%
MagnaCare $3,282 - $4,531 82%
MVP Health Care $368 - $6,244 9%
+ 5 smaller / regional plans $333 - $3,720
Government programs also on file: Medicare, Medicaid, 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: 100 Park Street, Glens Falls, NY 12801
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals