CMS Price Transparency Data

Breast lump removal

Facility: The University of Vermont Health Network - Champl

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$602
about 0.2× the $4,000 Medicare rate · typically $397–$2,574
modeled estimate · not a bill or quote
What this hospital charges insurers
$599
About the fair price
about $3 under the fair price · 0.1× Medicare
Medicare pays $4,000 Fair price $602 This hospital $599 Cash price $1,463 Hospital's list price $1,463

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 $599

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 $602 (about 0.2× the $4,000 Medicare rate). The University of Vermont Health Network - Champl charges insurers about $599, or about $1,463 in cash — about the fair price. Located in Plattsburgh, 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✓ Humana CignaKaiser 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 $339 - $4,679 8%
Blue Cross Blue Shieldmajor $361 - $22,219 9%
Aetnamajor $391 - $4,679 10%
Humanamajor $391 - $4,445 10%
Fidelis Care $391 - $4,679 10%
Harvard Pilgrim $1,170 29%
MagnaCare $1,170 29%
MVP Health Care $333 - $4,679 8%
+ 3 smaller / regional plans $484 - $5,011
Government programs also on file: Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 75 Beekman Street, Plattsburgh, NY 12901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals