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CMS Price Transparency Data Hospital file updated: 03/31/2026

Breast lump removal

Facility: Seattle Children's Hospital

Billing Code: 19120 (CPT)

Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Good Deal · Below Fair Market
$2,323Fair BaseRate (0.42× Market)
Position vs. 1.00× Fair Price58% Below Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

This hospital's typical commercial price is $986 compared to the $2,323 fair price benchmark.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).86/100 · Verified
86/100Hover Any Check Below to See How Prices Were Audited
File Completeness90Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic88Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment86Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing83Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount84Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.Regional Value Leader
CMS Star RatingNot RatedOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety ScoreNot ScoredComposite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER WaitNo ER DataMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

The BaseRate · fair price medium confidence
A fair price for this
$2,323
about 0.6× the $4,000 Medicare rate · typically $716–$4,430
modeled estimate · not a bill or quote
What this hospital charges insurers
$986
Below the fair price — a good deal
about $1,337 under the fair price · 0.2× Medicare
Medicare pays $4,000 Fair price $2,323 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 $3,071

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 $2,323 (about 0.6× 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

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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.

Self-Pay How to get the cash price

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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

Other Procedures at Seattle Children's Hospital

Compare: Breast lump removal at other WA hospitals

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

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 36.3%

Audit a Bill or Quote at Seattle Children's Hospital (Zero PHI Required)

CMS CCN: 503300
CPT 19120
Fair BaseRate™ $2,323
Medicare Rate $4,000
Self-Pay Cash Request Quote
Insurer Median $986
Pre-filled with Seattle Children's Hospital’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
2026 FPL: $15,650 + $5,500 per additional person
Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $644 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $644

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $644).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Seattle Children's Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target Target: $2,323 Fair BaseRate

Negotiate Toward $2,323 Fair BaseRate ($4,000 Medicare)

Your entered amount is at or below the modeled Fair BaseRate benchmark ($2,323).

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.
Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

45 CFR § 180 Primary-Source Lineage & Federal Verification Verified CMS CCN 503300

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (910564748_seattle-childrens-hospital_standardcharges.csv) Verify on CMS Medicare.gov (CCN 503300) ↗ CMS HCRIS Cost Reports ↗
Published MRF File910564748_seattle-childrens-hospital_standardcharges.csv
Publication / Vintage03/31/2026 · 910.07 MB
Validated Rate Rows7,146,939 (CMS v3.0.0)
File Integrity Digest4d7a563bf5568aa9c0c7…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy