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

Posted commercial rates at 58 Pennsylvania hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 19120

HospitalMedian across insurers× MedicareInsurersFile date
Conemaugh Memorial Medical Center Johnstown$2,1480.6×12026-04-15
Upmc Cole Coudersport$2,5460.7×12026-03-06
St Mary Medical Center Langhorne$2,6160.7×202026-03-31
Nazareth Hospital Philadelphia$2,8560.7×192026-03-31
Upmc Northwest Seneca$3,0810.8×22026-03-06
Upmc Bedford Memorial Everett$3,1790.8×22026-03-06
Upmc East Monroeville$3,2950.9×22026-03-06
Upmc Altoona Altoona$3,3390.9×12026-03-06
Magee Womens Hospital Of Upmc Health System Pittsburgh$3,5300.9×22026-03-06
Holy Redeemer Hospital And Medical Center Meadowbrook$3,6340.9×52026-09-21
Temple Health - Chestnut Hill Hospital Philadelphia$3,6810.9×62026-04-08
Wellspan Evangelical Community Hospital Lewisburg$3,6841.0×62026-01-01
Upmc Hamot Erie$3,7991.0×32026-03-06
Jefferson Lansdale Hospital Lansdale$4,0961.1×52026-09-15
Jefferson Abington Hospital Abington$4,0961.1×52026-09-15
Wayne Memorial Hospital Honesdale$4,2051.1×12026-09-16
Riddle Memorial Hospital Media$4,4201.1×22026-04-01
Paoli Hospital Paoli$4,5921.2×22026-04-01
Bryn Mawr Hospital Bryn Mawr$4,6421.1×22026-04-01
Lankenau Medical Center Wynnewood$4,6891.2×22026-04-01
Upmc Somerset Somerset$4,7701.3×22026-03-06
Upmc Presbyterian Shadyside Pittsburgh$5,0311.3×12026-03-06
Temple University Hospital Philadelphia$5,3201.3×92026-04-13
Hospital Of The Fox Chase Cancer Center Philadelphia$5,3631.3×62026-04-08
Jefferson Einstein Montgomery Hospital East Norriton$5,8001.5×62026-09-15
Jefferson Health-Northeast Philadelphia$5,8801.5×62026-09-15
Upmc Memorial York$5,9371.6×52026-03-06
Upmc Carlisle Carlisle$6,4131.6×32026-03-06
Upmc Lititz Lititz$6,4131.7×32026-03-06
Upmc Hanover Hanover$6,4131.7×32026-03-06
Upmc Washington Washington$6,5261.7×42026-03-06
St Luke'S Hospital Bethlehem Bethlehem$6,6821.7×32026-02-26
St Luke'S Hospital - Monroe Campus Stroudsburg$6,6821.8×32026-02-27
St Luke'S Hospital - Carbon Campus Lehighton$6,6821.7×32026-02-27
Saint Vincent Hospital Erie$6,8261.8×62026-04-14
Jefferson Hospital Jefferson Hills$6,9421.8×62026-04-14
Wellspan Good Samaritan Hospital Lebanon$7,2601.8×22026-01-01
Allegheny Valley Hospital Natrona$7,7762.0×62026-04-14
Canonsburg General Hospital Canonsburg$7,7962.0×62026-04-14
Grove City Hospital Grove City$7,8362.0×52026-04-14
St Luke'S Miners Memorial Hospital Coaldale$7,8372.0×22026-02-27
Forbes Hospital Monroeville$8,0122.1×62026-04-14
Ahn Wexford Hospital Wexford$8,3862.2×62026-04-14
St Luke'S Hospital - Upper Bucks Campus Quakertown$8,5622.2×22026-02-26
St Clair Hospital Pittsburgh$8,7512.3×72026-03-31
Geisinger St. Luke'S Hospital Orwigsburg$8,8562.3×22026-02-26
Thomas Jefferson University Hospital Philadelphia$9,3042.3×42026-09-15
Allegheny General Hospital Pittsburgh$9,6382.5×62026-04-14
West Penn Hospital Pittsburgh$9,6842.5×62026-04-14
Wilkes-Barre General Hospital Wilkes-Barre$10,3862.7×12026-07-01
Wellspan Ephrata Community Hospital Ephrata$11,3023.0×22026-01-01
Geisinger Community Medical Center Scranton$11,4013.0×32026-07-01
St Luke'S Hospital - Easton Campus Easton$12,0103.0×22026-02-26
Penn State Health Hampden Medical Center Enola$13,0843.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$13,2283.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$13,4333.5×12026-03-27
Geisinger-Lewistown Hospital Lewistown$14,6633.8×22026-07-01
Penn State Health St. Joseph Reading$17,3154.3×12026-03-27

Questions

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

58 Pennsylvania hospitals post usable commercial rates for breast lump removal (open) in their federal price-transparency files. For CPT 19120, hospital outpatient, the median across 58 hospitals is $6,413, 1.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.