CMS Price Transparency Data

Breast lump removal

Facility: Reynolds Memorial Hospital, Inc

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$3,746
about 0.9× the $4,000 Medicare rate · typically $1,171–$4,346
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,887
About the fair price
about $141 over the fair price · 1.0× Medicare
Medicare pays $4,000 Fair price $3,746 This hospital $3,887 Cash price $4,738 Hospital's list price $9,476

How we calculate the fair BaseRate →

How this hospital compares to other WV hospitals

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

Cheapest $551 Priciest $3,957

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

A fair price for a Breast lump removal is about $3,746 (about 0.9× the $4,000 Medicare rate). Reynolds Memorial Hospital, Inc charges insurers about $3,887, or about $4,738 in cash — about the fair price. Located in Glen Dale, WV.

What each insurance company pays

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

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $4,074 102%
Blue Cross Blue Shieldmajor $3,850 96%
Aetnamajor $3,924 98%
Humanamajor $3,924 98%
+ 1 smaller / regional plan $3,738
Government programs also on file: Medicare, Medicaid.

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: 800 Wheeling Ave, Glen Dale, WV 26038
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals