Breast lump removal
Facility: Atlanticare Regional Medical Center - City Campus
Billing Code: 19120 (CPT)
- CPT Billing Code: 19120
- Insurance Median: $3,737
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.93x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $4,000.24 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| UnitedHealthcare | $140 - $3,316 | 3% |
| Wellcare | $645 | 16% |
| Horizon | $649 - $2,803 | 16% |
| Self Pay | $701 | 18% |
| Evernorth | $701 | 18% |
| Aetna | $1,336 - $3,385 | 33% |
| Magnacare | $1,868 - $4,204 | 47% |
| Cigna | $1,960 | 49% |
| Great West Life | $2,354 | 59% |
| Global Exchange Managed Care | $2,803 | 70% |
| Blue Cross Blue Shield | $2,824 | 71% |
| Amerihealth | $3,003 - $3,499 | 75% |
| First McO | $3,036 | 76% |
| Active Care Plus | $3,036 | 76% |
| Mutual of Omaha | $3,036 | 76% |
| Donio Trucking | $3,270 | 82% |
| Consumer Health Network (Chn) | $3,270 - $4,204 | 82% |
| Devon/ Ullicare | $3,503 | 88% |
| Oxford | $3,503 | 88% |
| Coventry Health Care | $3,737 | 93% |
| Private Healthcare System (PHCS) | $3,737 | 93% |
| Tricare | $3,829 | 96% |
| Three Rivers Provider Network (Trpn) | $3,970 | 99% |
| Prime Health Services | $3,970 | 99% |
| Health Payors Org | $3,970 | 99% |
| Health South | $3,970 | 99% |
| Metrahealth of Nj | $3,970 | 99% |
| Active Care Nj Pip | $4,204 | 105% |
| McS Commercial | $4,204 | 105% |
| Metracomp | $4,204 | 105% |
| Beech Street | $4,204 | 105% |
| Multiplan | $4,204 | 105% |
| Choice Care | $4,204 | 105% |
| Galaxy Health Network | $4,204 | 105% |
| Department of Corrections | $4,204 | 105% |
| Intergroup Preferred Program | $4,204 | 105% |
| Health Network Inc | $4,204 | 105% |
| Provider Select, Inc | $4,204 | 105% |
| Master Care Inc | $4,321 | 108% |
| Atlantis Health Plan | $4,321 | 108% |
| Community Care Network | $4,437 | 111% |
| Health Network America | $4,437 | 111% |
| National Health Plan | $4,437 | 111% |
| McSi/Mrsi No Fault | $4,437 | 111% |
| McSi/Mrsi Worker's Comp | $4,437 | 111% |
| Advance Healthcare System | $4,437 | 111% |
| Devoted Health Plan | $4,537 | 113% |
| Ufcw | $4,671 | 117% |
| Health Partners Plan | $8,810 | 220% |