CMS Price Transparency Data

Breast lump removal

Facility: Kings County Hospital Center

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$2,073
about 0.5× the $4,000 Medicare rate · typically $1,243–$3,660
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,896
About the fair price
about $177 under the fair price · 0.5× Medicare
Medicare pays $4,000 Fair price $2,073 This hospital $1,896 Hospital's list price $3,383

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 $1,896

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 $2,073 (about 0.5× the $4,000 Medicare rate). Kings County Hospital Center charges insurers about $1,896 — about the fair price. 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 $1,474 - $3,774 37%
Blue Cross Blue Shieldmajor $503 - $4,531 13%
Aetnamajor $435 - $4,531 11%
Cignamajor $4,285 107%
Fidelis Care $503 - $6,435 13%
MagnaCare $4,131 103%
Oscar Health $629 - $6,797 16%
WellCare $511 - $3,305 13%
+ 15 smaller / regional plans $252 - $9,063
Government programs also on file: 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: 451 Clarkson Avenue, Brooklyn, NY 11203
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals