CMS Price Transparency Data

Breast lump removal

Facility: Westfield Memorial Hospital Inc

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$562
about 0.1× the $4,000 Medicare rate · typically $513–$2,031
modeled estimate · not a bill or quote
What this hospital charges insurers
$510
About the fair price
about $52 under the fair price · 0.1× Medicare
Medicare pays $4,000 Fair price $562 This hospital $510 Cash price $260 Hospital's list price $1,183

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

On the higher side — 6 of 8 other NY hospitals charge less.

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 $562 (about 0.1× the $4,000 Medicare rate). Westfield Memorial Hospital Inc charges insurers about $510, or about $260 in cash — about the fair price. Located in Westfield, 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 $251 - $4,894 6%
Blue Cross Blue Shieldmajor $367 - $7,514 9%
Aetnamajor $4,713 - $8,700 118%
Cignamajor $668 17%
Humanamajor $4,803 120%
AmeriHealth $182 - $4,758 5%
Geisinger $251 - $1,333 6%
Molina $4,939 123%
+ 6 smaller / regional plans $64 - $4,531
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 189 E Main St, Westfield, NY 14787
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - RURAL EMERGENCY HOSPITAL (REH)