CMS Price Transparency Data

Breast lump removal

Facility: Chan Soon- Shiong Medical Center at Windber

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,398
about 0.3× the $4,000 Medicare rate · typically $533–$2,821
modeled estimate · not a bill or quote
What this hospital charges insurers
$536
Below the fair price — a good deal
about $862 under the fair price · 0.1× Medicare
Medicare pays $4,000 Fair price $1,398 This hospital $536 Cash price $701 Hospital's list price $825

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

On the higher side — 7 of 8 other PA hospitals charge less.

Cheapest $510 Priciest $610

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 $1,398 (about 0.3× the $4,000 Medicare rate). Chan Soon- Shiong Medical Center at Windber charges insurers about $536, or about $701 in cash — below the fair price — a good deal. Located in Windber, PA.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $330 - $5,611 8%
Blue Cross Blue Shieldmajor $202 - $7,486 5%
Aetnamajor $375 - $3,753 9%
Cignamajor $495 - $543 12%
Humanamajor $535 - $3,753 13%
AmeriHealth $182 - $3,753 5%
Geisinger $185 - $6,293 5%
UPMC Health Plan $202 - $3,753 5%
+ 2 smaller / regional plans $208 - $3,814
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 600 Somerset Avenue, Windber, PA 15963
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals