CMS Price Transparency Data
Breast lump removal
Facility: Sentara Rmh Medical Center
Billing Code: 19120 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$3,992
about 1.0× the $4,000 Medicare rate · typically $2,868–$4,172
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $3,992 Cash price $1,637 Hospital's list price $3,274
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $4,002 - $13,095 | 100% |
| Aetnamajor | $4,011 | 100% |
| Humanamajor | $3,935 | 98% |
| Sentara | $3,897 | 97% |
Self-Pay How to get the cash price
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Other Procedures at Sentara Rmh Medical Center
Compare: Breast lump removal at other VA hospitals
- Medical College of Virginia Hospitals · Richmond $3,225
- Mary Washington Hospital · Fredericksburg $3,632
- Stafford Hospital, LLC · Stafford $3,632
- Vcu Health Tappahannock Hospital · Tappahannock $3,656
- Community Memorial Hospital · South Hill $3,656
- Bon Secours Maryview Medical Center · Portsmouth $3,820
- Mary Immaculate Hospital · Newport News $3,820
- Bon Secours Southside Medical Center · Petersburg $3,820
Insurance negotiated median for the same procedure, sorted lowest first.