CMS Price Transparency Data

Breast lump removal

Facility: Novant Health Hilton Head Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,703
about 0.9× the $4,000 Medicare rate · typically $3,401–$3,703
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,787
About the fair price
about $84 over the fair price · 0.9× Medicare
Medicare pays $4,000 Fair price $3,703 This hospital $3,787 Cash price $4,573

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

On the higher side — 7 of 8 other SC hospitals charge less.

Cheapest $496 Priciest $3,815

Black dot = this hospital, among the 9 SC hospitals with a price for this procedure. Full list below.

A fair price for a Breast lump removal is about $3,703 (about 0.9× the $4,000 Medicare rate). Novant Health Hilton Head Medical Center charges insurers about $3,787, or about $4,573 in cash — about the fair price. Located in Hilton Head Island, SC.

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 $3,642 - $21,295 91%
Blue Cross Blue Shieldmajor $4,452 - $8,069 111%
Aetnamajor $3,642 91%
Cignamajor $3,751 94%
Humanamajor $822 - $3,642 21%
Clover Health $3,787 95%
Devoted Health $3,642 91%
Molina $822 - $6,373 21%
SelectHealth $822 - $8,157 21%
+ 1 smaller / regional plan $863 - $6,009

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Facility Profile & Credentials

  • Address: 25 Hospital Center Blvd, Hilton Head Island, SC 29926
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals