CMS Price Transparency Data

Breast lump removal

Facility: Camc Greenbrier Valley Medical Center, Inc

Billing Code: 19120 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$1,328

about 0.3× the $4,000 Medicare rate · typically $304–$3,135

modeled estimate · not a bill or quote

Medicare pays $4,000 Fair price $1,328 Cash price $1,158

How we calculate the fair BaseRate →

Insurer prices not shown for this procedure

This hospital’s published rates for this billing code don’t look like a per-visit price — they appear to be a full-stay total filed under an hourly code — so we’re not showing a per-insurer breakdown we can’t stand behind. The fair price above is your best reference; call the hospital’s billing office to confirm the actual charge.

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 1,158), 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 Camc Greenbrier Valley Medical Center, Inc 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 Camc Greenbrier Valley Medical Center, Inc

Compare: Breast lump removal at other WV hospitals

Charleston Area Medical Center · Charleston $551
Cabell Huntington Hospital, Inc · Huntington $595
St Marys Medical Center · Huntington $608
Boone Memorial Hospital · Madison $1,593
Weirton Medical Center, Inc · Weirton $1,978
Reynolds Memorial Hospital, Inc · Glen Dale $3,887
Camden Clark Medical Center · Parkersburg $3,924
Berkeley Medical Center · Martinsburg $3,957

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