CMS Price Transparency Data

Breast lump removal

Facility: Thomas Jefferson University Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$3,942
about 1.0× the $4,000 Medicare rate · typically $1,367–$4,829
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,324
Below the fair price — a good deal
about $1,618 under the fair price · 0.6× Medicare
Medicare pays $4,000 Fair price $3,942 This hospital $2,324 Cash price $4,626 Hospital's list price $4,705

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 $2,324

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 $3,942 (about 1.0× the $4,000 Medicare rate). Thomas Jefferson University Hospital charges insurers about $2,324, or about $4,626 in cash — below the fair price — a good deal. Located in Philadelphia, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ Aetna✓ Cigna UnitedHealthcareBlue Cross Blue ShieldHumanaKaiser 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
Aetnamajor $328 - $9,534 8%
Cignamajor $8,500 - $10,200 212%
UPMC Health Plan $10,200 255%
+ 3 smaller / regional plans $225 - $4,093
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 111 South 11Th Street, Philadelphia, PA 19107
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals