CMS Price Transparency Data
Breast lump removal
Facility: Cincinnati Children's Hospital Medical Center
Billing Code: 19120 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$612
about 0.2× the $4,000 Medicare rate · typically $321–$3,900
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $612 Cash price $1,176 Hospital's list price $2,305
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 | $209 - $2,305 | 5% |
| Blue Cross Blue Shieldmajor | $192 - $2,305 | 5% |
| Aetnamajor | $198 - $2,305 | 5% |
| Cignamajor | $1,567 - $1,844 | 39% |
| Humanamajor | $192 - $277 | 5% |
| AmeriHealth | $197 - $232 | 5% |
| CareSource | $192 - $1,152 | 5% |
| Medical Mutual | $1,234 - $2,098 | 31% |
| Molina | $201 - $237 | 5% |
| WellCare | $208 - $277 | 5% |
| + 13 smaller / regional plans | $210 - $2,305 |
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Cincinnati Children's Hospital Medical 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.