CMS Price Transparency Data
Breast lump removal
Facility: Vandalia Health Broaddus Hospital
Billing Code: 19120 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$421
about 0.1× the $4,000 Medicare rate · typically $281–$2,418
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $421
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $632 | 16% |
| Aetnamajor | $321 - $443 | 8% |
| UniCare | $321 | 8% |
| + 2 smaller / regional plans | $306 - $321 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Vandalia Health Broaddus Hospital
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.