CMS Price Transparency Data

Breast lump removal

Facility: Geisinger-Lewistown Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$3,672
about 0.9× the $4,000 Medicare rate · typically $1,110–$3,798
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,751
About the fair price
about $79 over the fair price · 0.9× Medicare
Medicare pays $4,000 Fair price $3,672 This hospital $3,751 Cash price $6,140 Hospital's list price $9,904

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 $3,751

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 $3,672 (about 0.9× the $4,000 Medicare rate). Geisinger-Lewistown Hospital charges insurers about $3,751, or about $6,140 in cash — about the fair price. Located in Lewistown, PA.

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 $3,250 - $11,203 81%
Aetnamajor $4,047 - $7,220 101%
Cignamajor $4,283 - $7,814 107%
Humanamajor $3,751 94%
Ambetter (Centene) $8,913 223%
AmeriHealth $190 5%
Geisinger $185 - $17,407 5%
HealthPartners $208 5%
UPMC Health Plan $203 - $11,890 5%
+ 3 smaller / regional plans $3,751 - $11,885
Government programs also on file: Medicare, Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 400 Highland Avenue, Lewistown, PA 17044
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals