CMS Price Transparency Data

Breast lump removal

Facility: Temple University Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$4,068
about 1.0× the $4,000 Medicare rate · typically $1,380–$4,664
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,321
About the fair price
about $253 over the fair price · 1.1× Medicare
Medicare pays $4,000 Fair price $4,068 This hospital $4,321 Hospital's list price $4,341

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

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

Cheapest $510 Priciest $4,321

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 $4,068 (about 1.0× the $4,000 Medicare rate). Temple University Hospital charges insurers about $4,321 — about the fair price. Located in Philadelphia, 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 $1,476 - $6,368 37%
Blue Cross Blue Shieldmajor $651 - $13,113 16%
Aetnamajor $3,748 - $4,445 94%
Cignamajor $4,321 - $5,429 108%
Humanamajor $4,115 103%
AmeriHealth $242 6%
Clover Health $4,362 109%
Geisinger $4,527 - $5,397 113%
HealthPartners $1,670 - $4,198 42%
Oscar Health $6,173 154%
UPMC Health Plan $588 - $4,404 15%
+ 7 smaller / regional plans $386 - $6,790
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 3401 North Broad Street, Philadelphia, PA 19140
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals