CMS Price Transparency Data

Breast lump removal

Facility: Miami Valley Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$8,275
about 2.1× the $4,000 Medicare rate · typically $4,584–$10,069
modeled estimate · not a bill or quote
What this hospital charges insurers
$6,522
Below the fair price — a good deal
about $1,753 under the fair price · 1.6× Medicare
Medicare pays $4,000 Fair price $8,275 This hospital $6,522

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Highest price of the 9 OH hospitals we have prices for — worth calling around.

Cheapest $479 Priciest $6,522

Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.

A fair price for a Breast lump removal is about $8,275 (about 2.1× the $4,000 Medicare rate). Miami Valley Hospital charges insurers about $6,522 — below the fair price — a good deal. Located in Dayton, OH.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $6,522 163%
Blue Cross Blue Shieldmajor $5,690 - $11,611 142%
+ 1 smaller / regional plan $5,823
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: One Wyoming Street, Dayton, OH 45409
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals