CMS Price Transparency Data

Breast lump removal

Facility: Providence Regional Medical Center Everett

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$8,097
about 2.0× the $4,000 Medicare rate · typically $5,041–$9,782
modeled estimate · not a bill or quote
What this hospital charges insurers
$8,026
About the fair price
about $71 under the fair price · 2.0× Medicare
Medicare pays $4,000 Fair price $8,097 This hospital $8,026

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

Highest price of the 9 WA hospitals we have prices for — worth calling around.

Cheapest $457 Priciest $8,026

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 $8,097 (about 2.0× the $4,000 Medicare rate). Providence Regional Medical Center Everett charges insurers about $8,026 — about the fair price. Located in Everett, WA.

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✓ Kaiser Permanente Humana

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 $4,682 - $13,829 117%
Blue Cross Blue Shieldmajor $4,816 - $9,639 120%
Aetnamajor $4,593 - $12,902 115%
Cignamajor $9,161 229%
Kaiser Permanentemajor $4,459 - $6,688 111%
Amerigroup $4,905 123%
Providence Health Plan $10,345 259%
+ 3 smaller / regional plans $7,134 - $11,482

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1321 Colby Avenue, Everett, WA 98201
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals