CMS Price Transparency Data

Breast lump removal

Facility: Mercy Health - West Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$5,190
about 1.3× the $4,000 Medicare rate · typically $3,711–$7,550
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,882
Below the fair price — a good deal
about $1,308 under the fair price · 1.0× Medicare
Medicare pays $4,000 Fair price $5,190 This hospital $3,882 Cash price $11,299 Hospital's list price $18,832

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 $3,882

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 $5,190 (about 1.3× the $4,000 Medicare rate). Mercy Health - West Hospital charges insurers about $3,882, or about $11,299 in cash — below the fair price — a good deal. Located in Cincinnati, OH.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser 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 $3,882 97%
Aetnamajor $3,882 97%
Humanamajor $3,882 97%
CareSource $3,960 99%

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Facility Profile & Credentials

  • Address: 3300 Mercy Health Blvd, Cincinnati, OH 45211
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals