CMS Price Transparency Data

Breast lump removal

Facility: Mercy Hospital of Buffalo

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$508
about 0.1× the $4,000 Medicare rate · typically $320–$1,250
modeled estimate · not a bill or quote
What this hospital charges insurers
$481
About the fair price
about $27 under the fair price · 0.1× Medicare
Medicare pays $4,000 Fair price $508 This hospital $481 Cash price $737 Hospital's list price $737

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

One of the lower prices — 7 of 8 other NY hospitals charge more for the same procedure.

Cheapest $467 Priciest $533

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 $508 (about 0.1× the $4,000 Medicare rate). Mercy Hospital of Buffalo charges insurers about $481, or about $737 in cash — about the fair price. Located in Buffalo, NY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $280 - $545 7%
Blue Cross Blue Shieldmajor $184 - $590 5%
Aetnamajor $419 - $496 10%
Cignamajor $399 - $720 10%
Humanamajor $419 - $496 10%
Amerigroup $184 - $484 5%
Fidelis Care $419 - $596 10%
Independent Health $184 - $524 5%
MagnaCare $496 12%
Molina $414 - $1,089 10%
MVP Health Care $508 - $616 13%
UPMC Health Plan $442 - $719 11%
WellCare $419 - $546 10%
+ 16 smaller / regional plans $184 - $748
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: 565 Abbott Road, Buffalo, NY 14220
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals