Breast lump removal
Facility: John Randolph Medical Center
Billing Code: 19120 (CPT)
Highest price of the 9 VA hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 VA hospitals with a price for this procedure. Full list below.
A fair price for a Breast lump removal is about $5,673 (about 1.4× the $4,000 Medicare rate). John Randolph Medical Center charges insurers about $6,914 — above the fair price. Located in Hopewell, VA.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $5,673. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
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 | $5,062 - $9,041 | 127% |
| Blue Cross Blue Shieldmajor | $4,685 - $6,444 | 117% |
| Aetnamajor | $9,620 - $16,733 | 240% |
| Cignamajor | $4,675 - $7,051 | 117% |
| Oscar Health | $5,632 | 141% |
| Sentara | $6,914 | 173% |
| + 2 smaller / regional plans | $4,250 - $4,950 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at John Randolph 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.