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Breast lump removal (open) in Illinois: what insurers pay

Posted commercial rates at 6 Illinois hospitals, each next to its own Medicare base rate.

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CPT 19120

HospitalMedian across insurers× MedicareInsurersFile date
Endeavor Health Northwest Community Hospital Arlington Heights$3,7510.9×32026-04-01
Endeavor Health Edward Hospital Naperville$5,1841.2×22026-04-01
Endeavor Health Evanston Hospital Evanston$5,6361.3×32026-04-01
Endeavor Health Elmhurst Hospital Elmhurst$5,8811.4×22026-04-01
University of Chicago Medical Center Chicago$7,9121.9×22026-04-01
Rush University Medical Center Chicago$8,8922.1×12026-09-25

Questions

How much do insurers pay for breast lump removal (open) in Illinois?

6 Illinois hospitals post usable commercial rates for breast lump removal (open) in their federal price-transparency files. For CPT 19120, hospital outpatient, the median across 6 hospitals is $5,759, 1.4× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.