Breast lump removal
Facility: Metrohealth System
Billing Code: 19120 (CPT)
Highest price of the 9 OH hospitals we have prices for — worth calling around.
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 $3,756 (about 0.9× the $4,000 Medicare rate). Metrohealth System charges insurers about $4,075, or about $2,126 in cash — about the fair price. Located in Cleveland, OH.
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
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 | $4,054 | 101% |
| Blue Cross Blue Shieldmajor | $8,056 - $14,123 | 201% |
| Aetnamajor | $1,371 - $5,927 | 34% |
| Cignamajor | $2,577 | 64% |
| CareSource | $5,186 | 130% |
| Medical Mutual | $2,017 - $14,731 | 50% |
| + 8 smaller / regional plans | $1,879 - $9,631 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Metrohealth System
Compare: Breast lump removal at other OH hospitals
- Southern Ohio Medical Center · Portsmouth $479
- Arthur G James Cancer Hospital and Research Institute · Columbus $501
- Fisher-Titus Hospital · Norwalk $522
- Genesis Hospital · Zanesville $594
- Union Hospital · Dover $619
- Southwest General Health Center · Middleburg Heights $669
- Mercy Medical Center · Canton $765
- Akron General Medical Center · Akron $855
Insurance negotiated median for the same procedure, sorted lowest first.