CMS Price Transparency Data

Breast lump removal

Facility: Stonesprings Hospital Center

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$6,630
about 1.7× the $4,000 Medicare rate · typically $3,759–$8,040
modeled estimate · not a bill or quote
What this hospital charges insurers
$6,665
About the fair price
about $35 over the fair price · 1.7× Medicare
Medicare pays $4,000 Fair price $6,630 This hospital $6,665

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 $6,665

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 $6,630 (about 1.7× the $4,000 Medicare rate). Stonesprings Hospital Center charges insurers about $6,665 — about the fair price. Located in Dulles, VA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $7,357 184%
Blue Cross Blue Shieldmajor $3,530 - $7,221 88%
Aetnamajor $8,900 222%
Cignamajor $3,051 - $4,475 76%
Bright Health $5,995 150%
Sentara $7,312 183%
+ 1 smaller / regional plan $4,950

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Facility Profile & Credentials

  • Address: 24440 Stone Springs Boulevard, Dulles, VA 20166
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals