CMS Price Transparency Data

Breast lump removal

Facility: Bon Secours St Marys Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$4,304
about 1.1× the $4,000 Medicare rate · typically $3,442–$7,680
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,928
About the fair price
about $376 under the fair price · 1.0× Medicare
Medicare pays $4,000 Fair price $4,304 This hospital $3,928 Cash price $9,428 Hospital's list price $15,713

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 $3,928

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 $4,304 (about 1.1× the $4,000 Medicare rate). Bon Secours St Marys Hospital charges insurers about $3,928, or about $9,428 in cash — about the fair price. 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.

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

✓ UnitedHealthcare✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser 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 $3,928 98%
Aetnamajor $3,928 98%
Humanamajor $4,007 100%

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Facility Profile & Credentials

  • Address: 5801 Bremo Rd, Richmond, VA 23226
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals