CMS Price Transparency Data
Breast lump removal
Facility: Reading Hospital
Billing Code: 19120 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$2,677
about 0.7× the $4,000 Medicare rate · typically $413–$4,332
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $2,677 Cash price $7,433 Hospital's list price $10,618
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 | $1,041 - $8,601 | 26% |
| Blue Cross Blue Shieldmajor | $4,274 - $6,825 | 107% |
| Aetnamajor | $432 - $7,645 | 11% |
| Cignamajor | $7,050 | 176% |
| AmeriHealth | $242 | 6% |
| Geisinger | $208 - $6,722 | 5% |
| Health Net | $4,778 | 119% |
| HealthPartners | $221 | 6% |
| UPMC Health Plan | $190 - $5,735 | 5% |
| + 7 smaller / regional plans | $208 - $10,087 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Reading Hospital
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.