CMS Price Transparency Data

Breast lump removal

Facility: Pomerene Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,627
about 0.9× the $4,000 Medicare rate · typically $3,017–$4,212
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,630
About the fair price
about $3 over the fair price · 0.9× Medicare
Medicare pays $4,000 Fair price $3,627 This hospital $3,630 Cash price $3,905 Hospital's list price $4,881

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 $3,630

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 $3,627 (about 0.9× the $4,000 Medicare rate). Pomerene Hospital charges insurers about $3,630, or about $3,905 in cash — about the fair price. Located in Millersburg, 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 $3,703 - $4,295 93%
Blue Cross Blue Shieldmajor $3,630 - $4,076 91%
Aetnamajor $3,703 - $4,295 93%
Cignamajor $4,320 108%
Humanamajor $3,630 91%
Medical Mutual $3,630 - $4,295 91%
Molina $3,630 91%
+ 5 smaller / regional plans $3,630 - $4,539
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 981 Wooster Road, Millersburg, OH 44654
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals