CMS Price Transparency Data

Breast lump removal

Facility: Northwest Surgical Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$5,533
about 1.4× the $4,000 Medicare rate · typically $1,636–$6,730
modeled estimate · not a bill or quote
What this hospital charges insurers
$5,431
About the fair price
about $102 under the fair price · 1.4× Medicare
Medicare pays $4,000 Fair price $5,533 This hospital $5,431 Cash price $11,297

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

Highest price of the 9 OK hospitals we have prices for — worth calling around.

Cheapest $710 Priciest $5,431

Black dot = this hospital, among the 9 OK hospitals with a price for this procedure. Full list below.

A fair price for a Breast lump removal is about $5,533 (about 1.4× the $4,000 Medicare rate). Northwest Surgical Hospital charges insurers about $5,431, or about $11,297 in cash — about the fair price. Located in Oklahoma City, OK.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $5,559 139%
Blue Cross Blue Shieldmajor $3,319 - $5,302 83%
Aetnamajor $3,867 - $5,946 97%
Cignamajor $5,608 140%
+ 1 smaller / regional plan $6,510

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Facility Profile & Credentials

  • Address: 9204 North May Avenue, Oklahoma City, OK 73120
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals