CMS Price Transparency Data

Breast lump removal

Facility: Uh St John Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$3,768
about 0.9× the $4,000 Medicare rate · typically $1,434–$4,354
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,070
Below the fair price — a good deal
about $698 under the fair price · 0.8× Medicare
Medicare pays $4,000 Fair price $3,768 This hospital $3,070

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 $3,070

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 $3,768 (about 0.9× the $4,000 Medicare rate). Uh St John Medical Center charges insurers about $3,070 — below the fair price — a good deal. Located in Westlake, 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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $3,633 - $4,037 91%
Blue Cross Blue Shieldmajor $2,372 59%
Aetnamajor $4,085 102%
Cignamajor $2,507 63%
+ 1 smaller / regional plan $2,453

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Facility Profile & Credentials

  • Address: 29000 Center Ridge Road, Westlake, OH 44145
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals