CMS Price Transparency Data

Breast lump removal

Facility: Island Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$1,336

about 0.3× the $4,000 Medicare rate · typically $411–$3,629

modeled estimate · not a bill or quote

What this hospital charges insurers

$733

Below the fair price — a good deal

about $603 under the fair price · 0.2× Medicare

Medicare pays $4,000 Fair price $1,336 This hospital $733 Cash price $1,141 Hospital's list price $1,141

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

A typical price — 3 charge more and 5 charge less, among the 9 WA hospitals compared.

Cheapest $457 Priciest $1,450

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

A fair price for a Breast lump removal is about $1,336 (about 0.3× the $4,000 Medicare rate). Island Hospital charges insurers about $733, or about $1,141 in cash — below the fair price — a good deal. Located in Anacortes, WA.

What each insurance company pays

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

6 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	$504 - $5,550	13%
Blue Cross Blue Shieldmajor	$548 - $4,897	14%
Aetnamajor	$679 - $6,203	17%
Cignamajor	$555 - $5,223	14%
Humanamajor	$694 - $5,550	17%
Kaiser Permanentemajor	$389 - $2,350	10%
Amerigroup	$736 - $1,420	18%
Molina	$694 - $2,285	17%
+ 6 smaller / regional plans	$570 - $5,550

Government programs also on file: Military & VA.

Excludes 2 rental-network / third-party entries (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 1,141), 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 Island 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 Island Hospital

Compare: Breast lump removal at other WA hospitals

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