CMS Price Transparency Data

Breast lump removal

Facility: Fauquier Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$7,293
about 1.8× the $4,000 Medicare rate · typically $2,343–$11,609
modeled estimate · not a bill or quote
What this hospital charges insurers
$7,268
About the fair price
about $25 under the fair price · 1.8× Medicare
Medicare pays $4,000 Fair price $7,293 This hospital $7,268 Cash price $6,803 Hospital's list price $17,006

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

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

Cheapest $3,225 Priciest $7,268

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 $7,293 (about 1.8× the $4,000 Medicare rate). Fauquier Hospital charges insurers about $7,268, or about $6,803 in cash — about the fair price. Located in Warrenton, VA.

What each insurance company pays

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

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

✓ UnitedHealthcare Blue Cross Blue ShieldAetnaCignaHumanaKaiser 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 $7,268 182%

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 500 Hospital Drive, Warrenton, VA 20186
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals