CMS Price Transparency Data

Breast lump removal

Facility: UPMC Greene

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$3,063
about 0.8× the $4,000 Medicare rate · typically $1,021–$3,856
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,669
Above the fair price
about $606 over the fair price · 0.9× Medicare
Medicare pays $4,000 Fair price $3,063 This hospital $3,669

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 $3,669

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 $3,063 (about 0.8× the $4,000 Medicare rate). UPMC Greene charges insurers about $3,669 — above the fair price. Located in Waynesburg, 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 $3,063. 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.

3 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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 $199 - $7,270 5%
Aetnamajor $208 - $7,849 5%
Humanamajor $3,687 92%
AmeriHealth $204 5%
UPMC Health Plan $3,651 91%
+ 2 smaller / regional plans $3,651 - $7,302

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 350 Bonar Avenue, Waynesburg, PA 15370
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals