CMS Price Transparency Data

Breast lump removal

Facility: Brattleboro Memorial Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,182

about 0.3× the $4,000 Medicare rate · typically $760–$2,105

modeled estimate · not a bill or quote

What this hospital charges insurers

$914

Below the fair price — a good deal

about $268 under the fair price · 0.2× Medicare

Medicare pays $4,000 Fair price $1,182 This hospital $914 Cash price $761 Hospital's list price $1,087

How we calculate the fair BaseRate →

How this hospital compares to other VT hospitals

On the higher side — 7 of 8 other VT hospitals charge less.

Cheapest $486 Priciest $1,126

Black dot = this hospital, among the 9 VT hospitals with a price for this procedure. Full list below.

A fair price for a Breast lump removal is about $1,182 (about 0.3× the $4,000 Medicare rate). Brattleboro Memorial Hospital charges insurers about $914, or about $761 in cash — below the fair price — a good deal. Located in Brattleboro, VT.

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	$3,673	92%
Blue Cross Blue Shieldmajor	$389 - $5,143	10%
Aetnamajor	$959 - $1,149	24%
Cignamajor	$389 - $3,783	10%
Humanamajor	$3,673	92%
AmeriHealth	$343 - $2,960	9%
Harvard Pilgrim	$389 - $3,673	10%
MVP Health Care	$389 - $5,143	10%
Tufts Health Plan	$914	23%
WellCare	$408 - $3,857	10%
WellSense	$343 - $3,930	9%
+ 3 smaller / regional plans	$343 - $3,673

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 761), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 19120.

Insurance Before you use insurance

Call your insurance company to confirm Brattleboro Memorial Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 19120.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Brattleboro Memorial Hospital

Compare: Breast lump removal at other VT hospitals

Insurance negotiated median for the same procedure, sorted lowest first.