CMS Price Transparency Data

Breast lump removal

Facility: Riddle Memorial Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$4,011
about 1.0× the $4,000 Medicare rate · typically $1,411–$4,880
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,405
About the fair price
about $394 over the fair price · 1.1× Medicare
Medicare pays $4,000 Fair price $4,011 This hospital $4,405

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 $4,405

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 $4,011 (about 1.0× the $4,000 Medicare rate). Riddle Memorial Hospital charges insurers about $4,405 — about the fair price. Located in Media, 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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $4,489 112%
Blue Cross Blue Shieldmajor $3,188 - $5,028 80%
Aetnamajor $4,385 - $6,459 110%
Humanamajor $4,103 103%
Devoted Health $4,304 108%
Geisinger $4,505 113%
HealthPartners $4,224 106%
+ 1 smaller / regional plan $4,425

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Facility Profile & Credentials

  • Address: 1068 West Baltimore Pike, Media, PA 19063
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals