Breast lump removal
Facility: Jefferson Einstein Montgomery 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 $3,987 (about 1.0× the $4,000 Medicare rate). Jefferson Einstein Montgomery Hospital charges insurers about $3,981, or about $3,356 in cash — about the fair price. Located in East Norriton, 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
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 - $3,867 | 80% |
| Blue Cross Blue Shieldmajor | $3,981 | 100% |
| Aetnamajor | $4,019 - $4,734 | 100% |
| Cignamajor | $3,943 - $6,865 | 99% |
| Humanamajor | $3,791 | 95% |
| Geisinger | $1,050 - $15,449 | 26% |
| UPMC Health Plan | $2,734 - $3,981 | 68% |
| WellCare | $4,170 | 104% |
| + 2 smaller / regional plans | $3,035 - $9,713 |
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 Jefferson Einstein Montgomery 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.