CMS Price Transparency Data

Breast lump removal

Facility: Lake Health Beachwood Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,551
about 0.9× the $4,000 Medicare rate · typically $1,472–$3,551
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,550
About the fair price
about $1 under the fair price · 0.9× Medicare
Medicare pays $4,000 Fair price $3,551 This hospital $3,550

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 $3,551 (about 0.9× the $4,000 Medicare rate). Lake Health Beachwood Medical Center charges insurers about $3,550 — about the fair price. Located in Beachwood, 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 $3,550 - $8,975 89%
Blue Cross Blue Shieldmajor $3,550 - $7,086 89%
Aetnamajor $3,324 - $6,319 83%
Cignamajor $3,550 - $10,693 89%
Humanamajor $3,550 89%
Ambetter (Centene) $6,390 160%
CareSource $6,390 160%
Devoted Health $3,550 89%
Medical Mutual $3,550 89%
Molina $3,550 - $3,905 89%
Paramount $3,656 91%
WellCare $3,550 89%
+ 6 smaller / regional plans $2,453 - $3,727

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Facility Profile & Credentials

  • Address: 25501 Chagrin Boulevard, Beachwood, OH 44122
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals