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Breast lump removal (open) in New Jersey: what insurers pay

Posted commercial rates at 17 New Jersey hospitals, each next to its own Medicare base rate.

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CPT 19120

HospitalMedian across insurers× MedicareInsurersFile date
Morristown Medical Center Morristown$4,4431.0×12026-04-01
Chilton Medical Center Pompton Plains$4,4431.0×112026-04-01
Newton Medical Center Newton$4,4431.0×112026-04-01
Overlook Medical Center Summit$4,4431.0×112026-04-01
Centrastate Medical Center Freehold$4,4431.0×162026-01-01
Hackettstown Medical Center Hackettstown$4,4431.0×102026-04-01
Palisades Medical Center North Bergen$4,5101.0×12025-12-31
Shore Medical Center Somers Point$4,8011.1×42026-08-30
Englewood Hospital Englewood$5,7871.2×52026-02-02
St Luke'S Warren Hospital Phillipsburg$6,6821.5×32026-02-27
St Mary'S General Hospital Passaic$6,8021.5×72026-09-01
Jefferson Stratford Hospital Stratford$7,4091.7×32026-09-15
University Hospital Newark$7,4471.7×32026-08-13
St Joseph'S University Medical Center Inc Paterson$8,0011.7×32026-04-24
Valley Hospital Paramus$10,4302.2×42026-05-06
Inspira Medical Center Vineland Vineland$11,2082.5×12026-03-24
Inspira Medical Center Mullica Hill Mullica Hill$11,2082.5×12026-03-24

Questions

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

17 New Jersey hospitals post usable commercial rates for breast lump removal (open) in their federal price-transparency files. For CPT 19120, hospital outpatient, the median across 17 hospitals is $5,787, 1.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.