CMS Price Transparency Data
Breast lump removal
Facility: UPMC Somerset
Billing Code: 19120 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$1,711
about 0.4× the $4,000 Medicare rate · typically $684–$3,251
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $1,711 Cash price $1,078 Hospital's list price $1,797
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 | $958 - $3,651 | 24% |
| Blue Cross Blue Shieldmajor | $222 - $6,853 | 6% |
| AmeriHealth | $199 - $3,651 | 5% |
| Geisinger | $240 | 6% |
| UPMC Health Plan | $190 - $3,724 | 5% |
Self-Pay How to get the cash price
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Other Procedures at UPMC Somerset
Compare: Breast lump removal at other PA hospitals
- Saint Vincent Hospital · Erie $510
- Allegheny Valley Hospital · Natrona $510
- Allegheny General Hospital · Pittsburgh $510
- Canonsburg General Hospital · Canonsburg $510
- Jefferson Hospital · Jefferson Hills $510
- Grove City Medical Center · Grove City $510
- Forbes Hospital · Monroeville $510
- Chan Soon- Shiong Medical Center at Windber · Windber $536
Insurance negotiated median for the same procedure, sorted lowest first.