CMS Price Transparency Data

Breast lump removal

Facility: Madison Health

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$4,346
about 1.1× the $4,000 Medicare rate · typically $3,447–$8,943
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,964
About the fair price
about $382 under the fair price · 1.0× Medicare
Medicare pays $4,000 Fair price $4,346 This hospital $3,964

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 $3,964

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 $4,346 (about 1.1× the $4,000 Medicare rate). Madison Health charges insurers about $3,964 — about the fair price. Located in London, OH.

What each insurance company pays

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

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

✓ Aetna UnitedHealthcareBlue 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
Aetnamajor $3,775 94%
Ambetter (Centene) $5,852 146%
CareSource $3,851 - $6,041 96%
Molina $3,889 - $5,890 97%
+ 1 smaller / regional plan $3,964

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Facility Profile & Credentials

  • Address: 210 North Main Street, London, OH 43140
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals