CMS Price Transparency Data

Breast lump removal

Facility: Seattle Children's Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$2,063
about 0.5× the $4,000 Medicare rate · typically $744–$5,254
modeled estimate · not a bill or quote
What this hospital charges insurers
$986
Below the fair price — a good deal
about $1,077 under the fair price · 0.2× Medicare
Medicare pays $4,000 Fair price $2,063 This hospital $986 Hospital's list price $1,774

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

On the higher side — 6 of 8 other WA hospitals charge less.

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 $2,063 (about 0.5× the $4,000 Medicare rate). Seattle Children's Hospital charges insurers about $986 — below the fair price — a good deal. Located in Seattle, 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 $269 - $1,099 7%
Blue Cross Blue Shieldmajor $257 - $984 6%
Aetnamajor $986 - $1,419 25%
Cignamajor $1,017 25%
Humanamajor $1,419 35%
Kaiser Permanentemajor $257 - $1,009 6%
Medical Mutual $1,419 35%
Moda Health $986 - $1,419 25%
Molina $257 - $746 6%
Providence Health Plan $986 - $1,017 25%
SelectHealth $1,419 35%
Tufts Health Plan $1,017 25%
+ 47 smaller / regional plans $244 - $1,419
Government programs also on file: Medicaid.
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: 4800 Sand Point Way Ne, Po Box C-5371, Seattle, WA 98105
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens