CMS Price Transparency Data

Breast lump removal

Facility: St Lukes Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,962
about 1.0× the $4,000 Medicare rate · typically $2,500–$3,962
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,940
About the fair price
about $22 under the fair price · 1.0× Medicare
Medicare pays $4,000 Fair price $3,962 This hospital $3,940

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 $3,940

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 $3,962 (about 1.0× the $4,000 Medicare rate). St Lukes Hospital charges insurers about $3,940 — about the fair price. Located in Bethlehem, 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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $4,234 106%
Blue Cross Blue Shieldmajor $208 - $12,720 5%
Aetnamajor $3,999 100%
Humanamajor $4,077 102%
AmeriHealth $208 5%
Geisinger $204 - $3,999 5%
UPMC Health Plan $208 - $4,116 5%
+ 2 smaller / regional plans $199 - $249

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Facility Profile & Credentials

  • Address: 801 Ostrum Street, Bethlehem, PA 18015
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals