CMS Price Transparency Data

Breast lump removal

Facility: Samaritan Albany General Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$835

about 0.2× the $4,000 Medicare rate · typically $475–$1,873

modeled estimate · not a bill or quote

What this hospital charges insurers

$631

Below the fair price — a good deal

about $204 under the fair price · 0.2× Medicare

Medicare pays $4,000 Fair price $835 This hospital $631 Cash price $873 Hospital's list price $1,092

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

A typical price — 2 charge more and 5 charge less, among the 9 OR hospitals compared.

Cheapest $492 Priciest $1,166

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

A fair price for a Breast lump removal is about $835 (about 0.2× the $4,000 Medicare rate). Samaritan Albany General Hospital charges insurers about $631, or about $873 in cash — below the fair price — a good deal. Located in Albany, OR.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor	$453 - $13,633	11%
Aetnamajor	$624 - $1,141	16%
Cignamajor	$390 - $988	10%
Humanamajor	$403 - $913	10%
Devoted Health	$403 - $563	10%
Health Net	$403 - $1,032	10%
Moda Health	$374 - $1,247	9%
PacificSource	$352 - $1,135	9%
+ 4 smaller / regional plans	$374 - $1,247

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 873), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 19120.

Insurance Before you use insurance

Call your insurance company to confirm Samaritan Albany General Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 19120.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Samaritan Albany General Hospital

Compare: Breast lump removal at other OR hospitals

Insurance negotiated median for the same procedure, sorted lowest first.