CMS Price Transparency Data

Breast lump removal

Facility: Roper Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$4,260
about 1.1× the $4,000 Medicare rate · typically $3,326–$5,805
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,714
Below the fair price — a good deal
about $546 under the fair price · 0.9× Medicare
Medicare pays $4,000 Fair price $4,260 This hospital $3,714 Cash price $10,763 Hospital's list price $17,939

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

A typical price — 4 charge more and 3 charge less, among the 9 SC hospitals compared.

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 $4,260 (about 1.1× the $4,000 Medicare rate). Roper Hospital charges insurers about $3,714, or about $10,763 in cash — below the fair price — a good deal. Located in Charleston, SC.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Humana Blue 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
UnitedHealthcaremajor $3,714 93%
Humanamajor $3,899 97%

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Facility Profile & Credentials

  • Address: 316 Calhoun St, Charleston, SC 29401
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals