CMS Price Transparency Data

Breast lump removal

Facility: Medical College of Virginia Hospitals

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$4,138

about 1.0× the $4,000 Medicare rate · typically $3,441–$6,751

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,225

Below the fair price — a good deal

about $913 under the fair price · 0.8× Medicare

Medicare pays $4,000 Fair price $4,138 This hospital $3,225

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

Lowest price of the 9 VA hospitals we have prices for — a strong deal.

Cheapest $3,225 Priciest $3,820

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 $4,138 (about 1.0× the $4,000 Medicare rate). Medical College of Virginia Hospitals charges insurers about $3,225 — below the fair price — a good deal. Located in Richmond, VA.

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	$1,978 - $3,803	49%
Blue Cross Blue Shieldmajor	$1,940 - $3,656	48%
Aetnamajor	$1,959 - $3,656	49%
Cignamajor	$3,693	92%
Humanamajor	$3,839	96%
Molina	$2,036 - $3,225	51%
Sentara	$1,940 - $3,700	48%
+ 1 smaller / regional plan	$3,225

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 19120.

Insurance Before you use insurance

Call your insurance company to confirm Medical College of Virginia Hospitals is in-network.
Ask your insurer whether prior approval is required for CPT code 19120.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Medical College of Virginia Hospitals

Compare: Breast lump removal at other VA hospitals

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
Bon Secours St Francis Medical Center · Midlothian $3,820

Insurance negotiated median for the same procedure, sorted lowest first.