CMS Price Transparency Data

Breast lump removal

Facility: UPMC Hanover

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$3,844
about 1.0× the $4,000 Medicare rate · typically $1,895–$6,580
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,640
About the fair price
about $204 under the fair price · 0.9× Medicare
Medicare pays $4,000 Fair price $3,844 This hospital $3,640

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 $3,640

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 $3,844 (about 1.0× the $4,000 Medicare rate). UPMC Hanover charges insurers about $3,640 — about the fair price. Located in Hanover, PA.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $1,091 - $3,914 27%
Blue Cross Blue Shieldmajor $220 - $13,012 5%
Aetnamajor $3,815 95%
Cignamajor $3,841 - $6,413 96%
Humanamajor $3,658 91%
AmeriHealth $234 6%
Geisinger $252 - $3,841 6%
HealthPartners $236 6%
UPMC Health Plan $225 - $2,655 6%
+ 2 smaller / regional plans $295 - $5,853

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Facility Profile & Credentials

  • Address: 300 Highland Ave, Hanover, PA 17331
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals