CMS Price Transparency Data

Breast lump removal

Facility: Brooks-Tlc Hospital System, Inc

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$2,697
about 0.7× the $4,000 Medicare rate · typically $1,089–$4,394
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,264
Below the fair price — a good deal
about $433 under the fair price · 0.6× Medicare
Medicare pays $4,000 Fair price $2,697 This hospital $2,264 Cash price $4,293 Hospital's list price $4,293

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 $2,264

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 $2,697 (about 0.7× the $4,000 Medicare rate). Brooks-Tlc Hospital System, Inc charges insurers about $2,264, or about $4,293 in cash — below the fair price — a good deal. Located in Dunkirk, NY.

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✓ Humana AetnaCignaKaiser 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 $3,423 86%
Blue Cross Blue Shieldmajor $402 - $2,264 10%
Humanamajor $4,888 122%
EmblemHealth $6,354 159%
Independent Health $2,552 - $6,549 64%
WellCare $5,034 126%
+ 1 smaller / regional plan $78 - $4,045

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Facility Profile & Credentials

  • Address: 529 Central Avenue, Dunkirk, NY 14048
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals