CMS Price Transparency Data

Breast lump removal

Facility: Kettering Health Dayton

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$8,397
about 2.1× the $4,000 Medicare rate · typically $4,761–$10,265
modeled estimate · not a bill or quote
What this hospital charges insurers
$8,413
About the fair price
about $16 over the fair price · 2.1× Medicare
Medicare pays $4,000 Fair price $8,397 This hospital $8,413

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 $8,413

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 $8,397 (about 2.1× the $4,000 Medicare rate). Kettering Health Dayton charges insurers about $8,413 — about the fair price. 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.

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 $5,986 - $8,725 150%
Blue Cross Blue Shieldmajor $5,768 - $13,292 144%
Aetnamajor $3,858 - $10,818 96%
Cignamajor $14,364 359%
CareSource $5,962 149%
Medical Mutual $6,350 - $9,071 159%
Molina $4,051 - $8,010 101%
+ 2 smaller / regional plans $8,102 - $10,365

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Facility Profile & Credentials

  • Address: 405 Grand Avenue, Dayton, OH 45405
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals