CMS Price Transparency Data

Breast lump removal

Facility: Northeastern Vermont Regional Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$682
about 0.2× the $4,000 Medicare rate · typically $353–$2,429
modeled estimate · not a bill or quote
What this hospital charges insurers
$546
Below the fair price — a good deal
about $136 under the fair price · 0.1× Medicare
Medicare pays $4,000 Fair price $682 This hospital $546 Cash price $613 Hospital's list price $817

How we calculate the fair BaseRate →

How this hospital compares to other VT hospitals

One of the lower prices — 5 of 8 other VT hospitals charge more for the same procedure.

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 $682 (about 0.2× the $4,000 Medicare rate). Northeastern Vermont Regional Hospital charges insurers about $546, or about $613 in cash — below the fair price — a good deal. Located in Saint Johnsbury, VT.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $776 19%
Blue Cross Blue Shieldmajor $303 8%
Harvard Pilgrim $760 19%
+ 1 smaller / regional plan $294 - $546

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1315 Hospital Drive, Saint Johnsbury, VT 05819
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals