CMS Price Transparency Data
Breast lump removal
Facility: Crystal Clinic Orthopaedic Center
Billing Code: 19120 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$3,462
about 0.9× the $4,000 Medicare rate · typically $2,345–$5,554
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $3,462 Cash price $926 Hospital's list price $1,235
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✓ Cigna Blue Cross Blue ShieldHumanaKaiser 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 | $399 - $3,711 | 10% |
| Aetnamajor | $3,617 | 90% |
| Cignamajor | $526 - $2,567 | 13% |
| + 15 smaller / regional plans | $394 - $7,423 |
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Crystal Clinic Orthopaedic Center
Compare: Breast lump removal at other OH hospitals
- Southern Ohio Medical Center · Portsmouth $479
- Arthur G James Cancer Hospital and Research Institute · Columbus $501
- Fisher-Titus Hospital · Norwalk $522
- Genesis Hospital · Zanesville $594
- Union Hospital · Dover $619
- Southwest General Health Center · Middleburg Heights $669
- Mercy Medical Center · Canton $765
- Akron General Medical Center · Akron $855
Insurance negotiated median for the same procedure, sorted lowest first.