CMS Price Transparency Data

Breast lump removal

Facility: Caribbean Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$662
about 0.2× the $4,000 Medicare rate · typically $320–$2,340
modeled estimate · not a bill or quote
What this hospital charges insurers
$695
About the fair price
about $33 over the fair price · 0.2× Medicare
Medicare pays $4,000 Fair price $662 This hospital $695 Hospital's list price $868

How we calculate the fair BaseRate →

How this hospital compares to other PR hospitals

Highest price of the 2 PR hospitals we have prices for — worth calling around.

Cheapest $536 Priciest $695

Black dot = this hospital, among the 2 PR hospitals with a price for this procedure. Full list below.

A fair price for a Breast lump removal is about $662 (about 0.2× the $4,000 Medicare rate). Caribbean Medical Center charges insurers about $695 — about the fair price. Located in Fajardo, PR.

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

✓ Humana UnitedHealthcareBlue Cross Blue ShieldAetnaCignaKaiser 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
Humanamajor $385 10%
+ 19 smaller / regional plans $385 - $791
Government programs also on file: Medicare, Military & VA.

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Facility Profile & Credentials

  • Address: 151 Ave Osvaldo Molina, Fajardo, PR 00738
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals