CMS Price Transparency Data

Breast lump removal

Facility: Arthur G James Cancer Hospital and Research Institute

Billing Code: 19120 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$2,374

about 0.6× the $4,000 Medicare rate · typically $654–$5,244

modeled estimate · not a bill or quote

What this hospital charges insurers

$501

Below the fair price — a good deal

about $1,873 under the fair price · 0.1× Medicare

Medicare pays $4,000 Fair price $2,374 This hospital $501 Hospital's list price $5,474

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

One of the lower prices — 7 of 8 other OH hospitals charge more for the same procedure.

Cheapest $479 Priciest $945

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 $2,374 (about 0.6× the $4,000 Medicare rate). Arthur G James Cancer Hospital and Research Institute charges insurers about $501 — below the fair price — a good deal. Located in Columbus, 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	$1,524 - $4,981	38%
Blue Cross Blue Shieldmajor	$2,010 - $5,189	50%
Aetnamajor	$1,455 - $5,388	36%
Cignamajor	$3,022 - $3,967	76%
Humanamajor	$1,223 - $5,521	31%
AmeriHealth	$2,037 - $2,949	51%
CareSource	$1,806 - $2,702	45%
Molina	$1,806 - $5,388	45%
+ 10 smaller / regional plans	$501 - $5,413

Government programs also on file: Medicare, Medicaid.

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 19120.

Insurance Before you use insurance

Call your insurance company to confirm Arthur G James Cancer Hospital and Research Institute is in-network.
Ask your insurer whether prior approval is required for CPT code 19120.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Arthur G James Cancer Hospital and Research Institute

Compare: Breast lump removal at other OH hospitals

Insurance negotiated median for the same procedure, sorted lowest first.