CMS Price Transparency Data
Breast lump removal
Facility: Sentara Careplex Hospital
Billing Code: 19120 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$6,453
about 1.6× the $4,000 Medicare rate · typically $3,749–$9,472
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $6,453 Cash price $4,896 Hospital's list price $9,792
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✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 | $4,011 - $14,111 | 100% |
| Blue Cross Blue Shieldmajor | $4,002 - $13,358 | 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 Careplex Hospital
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.