CMS Price Transparency Data

Breast lump removal

Facility: Copley Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$582
about 0.1× the $4,000 Medicare rate · typically $430–$1,851
modeled estimate · not a bill or quote
What this hospital charges insurers
$546
About the fair price
about $36 under the fair price · 0.1× Medicare
Medicare pays $4,000 Fair price $582 This hospital $546 Cash price $909 Hospital's list price $1,136

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 $582 (about 0.1× the $4,000 Medicare rate). Copley Hospital charges insurers about $546, or about $909 in cash — about the fair price. Located in Morrisville, VT.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna AetnaHumanaKaiser 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 $486 - $1,079 12%
Blue Cross Blue Shieldmajor $493 - $983 12%
Cignamajor $710 - $1,079 18%
Harvard Pilgrim $486 - $1,000 12%
MVP Health Care $488 - $886 12%
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 528 Washington Highway, Morrisville, VT 05661
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals