Breast lump removal
Facility: Pennsylvania Hospital
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 $3,152 (about 0.8× the $4,000 Medicare rate). Pennsylvania Hospital charges insurers about $4,423, or about $4,718 in cash — above the fair price. Located in Philadelphia, 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 $3,152. 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.
5 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 | $476 - $7,114 | 12% |
| Blue Cross Blue Shieldmajor | $627 - $24,258 | 16% |
| Aetnamajor | $646 - $7,114 | 16% |
| Cignamajor | $786 - $5,138 | 20% |
| Humanamajor | $1,858 - $5,691 | 46% |
| Clover Health | $4,423 | 111% |
| Geisinger | $4,218 - $12,988 | 105% |
| Health Net | $1,393 - $4,268 | 35% |
| HealthPartners | $2,322 - $7,114 | 58% |
| Oscar Health | $6,962 | 174% |
| UPMC Health Plan | $294 - $7,114 | 7% |
| + 38 smaller / regional plans | $173 - $10,853 |
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 Pennsylvania Hospital
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.