CMS Price Transparency Data

Breast lump removal

Facility: St Barnabas Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$3,186
about 0.8× the $4,000 Medicare rate · typically $981–$4,968
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,629
Below the fair price — a good deal
about $557 under the fair price · 0.7× Medicare
Medicare pays $4,000 Fair price $3,186 This hospital $2,629 Cash price $506 Hospital's list price $9,175

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 $2,629

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 $3,186 (about 0.8× the $4,000 Medicare rate). St Barnabas Hospital charges insurers about $2,629, or about $506 in cash — below the fair price — a good deal. Located in Bronx, 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✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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 $1,468 - $4,679 37%
Aetnamajor $4,679 117%
Cignamajor $2,629 - $3,093 66%
Humanamajor $4,772 119%
EmblemHealth $4,679 117%
Fidelis Care $453 - $4,679 11%
WellCare $4,445 111%
+ 12 smaller / regional plans $352 - $6,881

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Facility Profile & Credentials

  • Address: 4422 Third Avenue, Bronx, NY 10457
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals