CMS Price Transparency Data

Breast lump removal

Facility: Community Memorial Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,747
about 0.9× the $4,000 Medicare rate · typically $2,622–$5,125
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,656
About the fair price
about $91 under the fair price · 0.9× Medicare
Medicare pays $4,000 Fair price $3,747 This hospital $3,656

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

A typical price — 4 charge more and 3 charge less, among the 9 VA hospitals compared.

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 $3,747 (about 0.9× the $4,000 Medicare rate). Community Memorial Hospital charges insurers about $3,656 — about the fair price. Located in South Hill, 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 $2,017 - $3,803 50%
Blue Cross Blue Shieldmajor $1,977 - $3,656 49%
Aetnamajor $1,997 - $3,656 50%
Cignamajor $3,693 92%
Humanamajor $3,839 96%
Molina $2,076 52%
Sentara $1,977 - $3,656 49%

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Facility Profile & Credentials

  • Address: 1755 North Mecklenburg Avenue, South Hill, VA 23970
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals