CMS Price Transparency Data

Breast lump removal

Facility: UPMC Altoona

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$2,222
about 0.6× the $4,000 Medicare rate · typically $830–$3,160
modeled estimate · not a bill or quote
What this hospital charges insurers
$837
Below the fair price — a good deal
about $1,385 under the fair price · 0.2× Medicare
Medicare pays $4,000 Fair price $2,222 This hospital $837

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 $837

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 $2,222 (about 0.6× the $4,000 Medicare rate). UPMC Altoona charges insurers about $837 — below the fair price — a good deal. Located in Altoona, 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✓ 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 $182 - $3,906 5%
Blue Cross Blue Shieldmajor $257 - $3,943 6%
Aetnamajor $173 4%
Cignamajor $3,943 99%
AmeriHealth $270 - $3,943 7%
Geisinger $240 6%
HealthPartners $261 7%
UPMC Health Plan $190 - $3,784 5%
+ 1 smaller / regional plan $295 - $3,943

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Facility Profile & Credentials

  • Address: 620 Howard Avenue, Altoona, PA 16601
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals