CMS Price Transparency Data

Breast lump removal

Facility: Christ Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,301
about 0.3× the $4,000 Medicare rate · typically $631–$3,994
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,330
Well above the fair price
about $1,029 over the fair price · 0.6× Medicare
Medicare pays $4,000 Fair price $1,301 This hospital $2,330 Cash price $2,330 Hospital's list price $3,883

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 $2,330

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 $1,301 (about 0.3× the $4,000 Medicare rate). Christ Hospital charges insurers about $2,330, or about $2,330 in cash — well above the fair price. Located in Cincinnati, OH.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $1,301. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $97 - $12,580 2%
Blue Cross Blue Shieldmajor $445 - $12,580 11%
Aetnamajor $445 - $12,580 11%
Cignamajor $445 - $3,883 11%
Humanamajor $445 - $12,580 11%
Ambetter (Centene) $445 - $3,538 11%
AmeriHealth $445 - $12,580 11%
CareSource $445 - $12,580 11%
GEHA $2,330 - $6,148 58%
Health Net $3,883 97%
Healthcare Highways $3,883 97%
Medical Mutual $445 - $10,424 11%
Meridian $3,538 88%
Molina $971 24%
Priority Health $2,063 52%
WellCare $445 - $971 11%
+ 14 smaller / regional plans $445 - $12,580
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

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Facility Profile & Credentials

  • Address: 2139 Auburn Avenue, Cincinnati, OH 45219
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals