CMS Price Transparency Data

Breast lump removal

Facility: Ohio State University State Health System

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$4,343
about 1.1× the $4,000 Medicare rate · typically $3,290–$8,227
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,666
Below the fair price — a good deal
about $677 under the fair price · 0.9× Medicare
Medicare pays $4,000 Fair price $4,343 This hospital $3,666 Hospital's list price $5,474

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 $3,666

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 $4,343 (about 1.1× the $4,000 Medicare rate). Ohio State University State Health System charges insurers about $3,666 — below the fair price — a good deal. Located in Columbus, OH.

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 $304 8%
Blue Cross Blue Shieldmajor $3,666 - $5,326 92%
Aetnamajor $3,520 - $4,401 88%
Cignamajor $3,007 75%
Humanamajor $2,518 - $3,739 63%
CareSource $3,849 - $5,682 96%
Molina $3,666 - $6,122 92%
+ 10 smaller / regional plans $501 - $12,119
Government programs also on file: Medicare.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 410 West 10Th Avenue, Columbus, OH 43210
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals