CMS Price Transparency Data

Breast lump removal

Facility: Milton S Hershey Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,882
about 1.0× the $4,000 Medicare rate · typically $2,649–$4,196
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,194
About the fair price
about $312 over the fair price · 1.0× Medicare
Medicare pays $4,000 Fair price $3,882 This hospital $4,194 Cash price $8,246 Hospital's list price $24,890

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 $4,194

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 $3,882 (about 1.0× the $4,000 Medicare rate). Milton S Hershey Medical Center charges insurers about $4,194, or about $8,246 in cash — about the fair price. Located in Hershey, 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 $4,236 - $17,946 106%
Blue Cross Blue Shieldmajor $3,530 - $22,332 88%
Aetnamajor $4,194 - $16,858 105%
Cignamajor $15,912 398%
Humanamajor $4,194 105%
AmeriHealth $3,530 - $4,153 88%
Cigna HealthSpring $4,194 105%
Geisinger $3,737 - $18,548 93%
HealthPartners $3,862 - $4,236 97%
UPMC Health Plan $4,236 - $18,389 106%
+ 2 smaller / regional plans $3,883 - $5,191
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 500 University Drive, Hershey, PA 17033
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals