CMS Price Transparency Data

Breast lump removal

Facility: Sentara Northern Virginia Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$5,241
about 1.3× the $4,000 Medicare rate · typically $3,653–$7,581
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,006
Below the fair price — a good deal
about $1,235 under the fair price · 1.0× Medicare
Medicare pays $4,000 Fair price $5,241 This hospital $4,006 Cash price $4,896 Hospital's list price $9,792

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 $4,006

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 $5,241 (about 1.3× the $4,000 Medicare rate). Sentara Northern Virginia Medical Center charges insurers about $4,006, or about $4,896 in cash — below the fair price — a good deal. Located in Woodbridge, 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 $4,011 - $5,620 100%
Blue Cross Blue Shieldmajor $3,231 - $9,027 81%
Aetnamajor $3,897 97%
Cignamajor $3,988 - $4,335 100%
Humanamajor $3,935 98%

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Facility Profile & Credentials

  • Address: 2300 Opitz Boulevard, Woodbridge, VA 22191
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals