CMS Price Transparency Data

Breast lump removal

Facility: Clinton Memorial Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$4,381
about 1.1× the $4,000 Medicare rate · typically $3,236–$4,404
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,411
About the fair price
about $30 over the fair price · 1.1× Medicare
Medicare pays $4,000 Fair price $4,381 This hospital $4,411

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 $4,411

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 $4,381 (about 1.1× the $4,000 Medicare rate). Clinton Memorial Hospital charges insurers about $4,411 — about the fair price. Located in Wilmington, OH.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna Blue Cross Blue ShieldCignaHumanaKaiser 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 $7,351 184%
Aetnamajor $1,008 - $10,993 25%
CareSource $4,922 123%
+ 1 smaller / regional plan $3,900 - $5,490

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Facility Profile & Credentials

  • Address: 610 West Main Street, Wilmington, OH 45177
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals