CMS Price Transparency Data

Breast lump removal

Facility: Cleveland Clinic Avon Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,545
about 0.9× the $4,000 Medicare rate · typically $1,442–$3,585
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,550
About the fair price
about $5 over the fair price · 0.9× Medicare
Medicare pays $4,000 Fair price $3,545 This hospital $3,550 Cash price $5,099 Hospital's list price $7,845

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 $3,550

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 $3,545 (about 0.9× the $4,000 Medicare rate). Cleveland Clinic Avon Hospital charges insurers about $3,550, or about $5,099 in cash — about the fair price. Located in Avon, 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 $888 - $5,553 22%
Blue Cross Blue Shieldmajor $871 - $6,147 22%
Aetnamajor $3,550 - $7,845 89%
Cignamajor $3,656 - $4,600 91%
Humanamajor $3,550 89%
CareSource $888 22%
Devoted Health $3,550 89%
Molina $871 22%
Oscar Health $2,364 - $3,016 59%
UniCare $3,727 93%
UPMC Health Plan $3,550 - $4,707 89%
+ 17 smaller / regional plans $871 - $7,060
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 33300 Cleveland Clinic Blvd, Avon, OH 44011
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals