CMS Price Transparency Data

Breast lump removal

Facility: Pelham Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$5,784
about 1.4× the $4,000 Medicare rate · typically $3,623–$6,380
modeled estimate · not a bill or quote
What this hospital charges insurers
$5,838
About the fair price
about $54 over the fair price · 1.5× Medicare
Medicare pays $4,000 Fair price $5,784 This hospital $5,838

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

Highest price of the 9 SC hospitals we have prices for — worth calling around.

Cheapest $496 Priciest $5,838

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 $5,784 (about 1.4× the $4,000 Medicare rate). Pelham Medical Center charges insurers about $5,838 — about the fair price. Located in Greer, 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 $14,667 367%
Blue Cross Blue Shieldmajor $3,760 - $14,840 94%
Aetnamajor $3,883 97%
Cignamajor $3,995 - $14,170 100%
Humanamajor $3,734 93%
Devoted Health $3,846 96%
Health Net $16,223 406%
+ 1 smaller / regional plan $3,920

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Facility Profile & Credentials

  • Address: 250 Westmoreland Road, Greer, SC 29651
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals