CMS Price Transparency Data

Breast lump removal

Facility: Saint Vincent Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$518
about 0.1× the $4,000 Medicare rate · typically $497–$1,611
modeled estimate · not a bill or quote
What this hospital charges insurers
$510
About the fair price
about $8 under the fair price · 0.1× Medicare
Medicare pays $4,000 Fair price $518 This hospital $510 Cash price $213 Hospital's list price $1,183

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Lowest price of the 9 PA hospitals we have prices for — a strong deal.

Cheapest $510 Priciest $610

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

A fair price for a Breast lump removal is about $518 (about 0.1× the $4,000 Medicare rate). Saint Vincent Hospital charges insurers about $510, or about $213 in cash — about the fair price. Located in Erie, PA.

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 $251 - $112,529 6%
Blue Cross Blue Shieldmajor $239 - $6,566 6%
Aetnamajor $190 - $8,482 5%
Cignamajor $668 - $8,889 17%
Humanamajor $4,416 110%
AmeriHealth $182 - $4,374 5%
Geisinger $251 - $1,333 6%
Medical Mutual $8,889 222%
Molina $4,541 114%
+ 7 smaller / regional plans $64 - $4,166
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 232 West 25Th Street, Erie, PA 16544
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals