Breast lump removal
Facility: Gifford Medical Center
Billing Code: 19120 (CPT)
A typical price — 4 charge more and 4 charge less, among the 9 VT hospitals compared.
Black dot = this hospital, among the 9 VT hospitals with a price for this procedure. Full list below.
⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.
A fair price for a Breast lump removal is about $533 (about 0.1× the $4,000 Medicare rate). Gifford Medical Center charges insurers about $552, or about $2,821 in cash — about the fair price. Located in Randolph, VT.
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
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 | $389 - $6,597 | 10% |
| Blue Cross Blue Shieldmajor | $400 - $6,221 | 10% |
| Aetnamajor | $1,225 - $6,597 | 31% |
| Cignamajor | $710 - $5,555 | 18% |
| Harvard Pilgrim | $812 - $5,555 | 20% |
| MVP Health Care | $389 - $5,902 | 10% |
| + 1 smaller / regional plan | $486 - $3,125 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Gifford Medical Center
Compare: Breast lump removal at other VT hospitals
- Porter Hospital Inc · Middlebury $486
- Northeastern Vermont Regional Hospital · Saint Johnsbury $546
- North Country Hospital and Health Center · Newport $546
- Copley Hospital · Morrisville $546
- Southwestern Vermont Medical Center · Bennington $691
- Univ. of Vermont - Fletcher Allen Health Care · Burlington $809
- Brattleboro Memorial Hospital · Brattleboro $914
- Central Vermont Medical Center · Barre $1,126
Insurance negotiated median for the same procedure, sorted lowest first.