CMS Price Transparency Data

Breast lump removal

Facility: Penn Highlands Connellsville

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$1,869
about 0.5× the $4,000 Medicare rate · typically $629–$3,195
modeled estimate · not a bill or quote
What this hospital charges insurers
$610
Below the fair price — a good deal
about $1,259 under the fair price · 0.2× Medicare
Medicare pays $4,000 Fair price $1,869 This hospital $610

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 $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 $1,869 (about 0.5× the $4,000 Medicare rate). Penn Highlands Connellsville charges insurers about $610 — below the fair price — a good deal. Located in Connellsville, PA.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna AetnaHumanaKaiser 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 $290 - $7,043 7%
Blue Cross Blue Shieldmajor $267 - $4,015 7%
Cignamajor $608 15%
Geisinger $173 - $3,684 4%
UPMC Health Plan $293 - $1,294 7%
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 401 East Murphy Avenue, Connellsville, PA 15425
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals