Breast lump removal
Facility: West Penn Hospital
Billing Code: 19120 (CPT)
Highest price of the 9 PA hospitals we have prices for — worth calling around.
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 $524 (about 0.1× the $4,000 Medicare rate). West Penn Hospital charges insurers about $668, or about $319 in cash — above the fair price. Located in Pittsburgh, PA.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $524. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
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 | $251 - $12,926 | 6% |
| Blue Cross Blue Shieldmajor | $239 - $9,349 | 6% |
| Aetnamajor | $208 - $12,194 | 5% |
| Cignamajor | $668 - $12,223 | 17% |
| Humanamajor | $3,905 | 98% |
| AmeriHealth | $182 - $3,868 | 5% |
| Geisinger | $251 - $1,333 | 6% |
| Medical Mutual | $12,223 | 306% |
| Molina | $4,015 | 100% |
| + 5 smaller / regional plans | $190 - $3,684 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at West Penn 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.