CMS Price Transparency Data

Breast lump removal

Facility: Porter Hospital Inc

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$439
about 0.1× the $4,000 Medicare rate · typically $421–$1,606
modeled estimate · not a bill or quote
What this hospital charges insurers
$486
About the fair price
about $47 over the fair price · 0.1× Medicare
Medicare pays $4,000 Fair price $439 This hospital $486 Cash price $1,100 Hospital's list price $1,100

How we calculate the fair BaseRate →

How this hospital compares to other VT hospitals

Lowest price of the 9 VT hospitals we have prices for — a strong deal.

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 $439 (about 0.1× the $4,000 Medicare rate). Porter Hospital Inc charges insurers about $486, or about $1,100 in cash — about the fair price. Located in Middlebury, 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 $339 - $1,108 8%
Blue Cross Blue Shieldmajor $447 - $753 11%
Aetnamajor $389 - $505 10%
Cignamajor $806 20%
Humanamajor $369 - $3,638 9%
Fidelis Care $350 9%
Harvard Pilgrim $472 12%
MVP Health Care $330 - $928 8%
+ 3 smaller / regional plans $484 - $926
Government programs also on file: Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 115 Porter Drive, Middlebury, VT 05753
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals