Breast lump removal
Facility: UPMC Presbyterian Shadyside
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 $2,713 (about 0.7× the $4,000 Medicare rate). UPMC Presbyterian Shadyside charges insurers about $1,010 — below the fair price — a good deal. Located in Pittsburgh, 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
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 | $1,000 - $3,943 | 25% |
| Blue Cross Blue Shieldmajor | $257 - $5,761 | 6% |
| Aetnamajor | $225 - $4,016 | 6% |
| Cignamajor | $3,943 | 99% |
| AmeriHealth | $274 - $3,943 | 7% |
| Geisinger | $269 | 7% |
| HealthPartners | $261 | 7% |
| UPMC Health Plan | $190 - $1,010 | 5% |
| + 1 smaller / regional plan | $295 - $3,943 |
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 UPMC Presbyterian Shadyside
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.