CMS Price Transparency Data

Breast lump removal

Facility: Jefferson Abington Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$3,939
about 1.0× the $4,000 Medicare rate · typically $1,371–$4,829
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,203
Below the fair price — a good deal
about $736 under the fair price · 0.8× Medicare
Medicare pays $4,000 Fair price $3,939 This hospital $3,203 Cash price $4,419 Hospital's list price $12,788

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 $3,203

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 $3,939 (about 1.0× the $4,000 Medicare rate). Jefferson Abington Hospital charges insurers about $3,203, or about $4,419 in cash — below the fair price — a good deal. Located in Abington, 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✓ Aetna✓ Cigna Blue 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
UnitedHealthcaremajor $3,203 80%
Aetnamajor $258 - $4,102 6%
Cignamajor $5,721 - $6,865 143%
HealthPartners $279 7%
UPMC Health Plan $6,865 172%
+ 5 smaller / regional plans $213 - $4,146
Government programs also on file: Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1200 Old York Road, Abington, PA 19001
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals