CMS Price Transparency Data
Breast lump removal
Facility: Magee Memorial Hospital for Convalescents
Billing Code: 19120 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$1,210
about 0.3× the $4,000 Medicare rate · typically $464–$4,815
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $1,210 Cash price $4,701 Hospital's list price $4,705
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
1 of 6 major insurers have a published price at this hospital
✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser 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 |
|---|---|---|
| Aetnamajor | $229 | 6% |
| Geisinger | $234 - $1,127 | 6% |
| + 2 smaller / regional plans | $225 - $1,083 |
Government programs also on file: Medicaid.
Self-Pay How to get the cash price
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Other Procedures at Magee Memorial Hospital for Convalescents
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.