CMS Price Transparency Data

Breast lump removal

Facility: Maimonides Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$3,610
about 0.9× the $4,000 Medicare rate · typically $1,249–$5,398
modeled estimate · not a bill or quote
What this hospital charges insurers
$806
Below the fair price — a good deal
about $2,804 under the fair price · 0.2× Medicare
Medicare pays $4,000 Fair price $3,610 This hospital $806 Cash price $1,260 Hospital's list price $1,260

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 $806

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 $3,610 (about 0.9× the $4,000 Medicare rate). Maimonides Medical Center charges insurers about $806, or about $1,260 in cash — below the fair price — a good deal. Located in Brooklyn, 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 $294 - $5,376 7%
Blue Cross Blue Shieldmajor $588 - $7,047 15%
Aetnamajor $493 - $4,888 12%
Cignamajor $173 - $751 4%
Fidelis Care $428 - $488 11%
MagnaCare $6,360 159%
+ 7 smaller / regional plans $157 - $14,858

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Facility Profile & Credentials

  • Address: 4802 Tenth Avenue, Brooklyn, NY 11219
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals