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Package

Breast lesion removal - surgical

Package

Breast lesion removal - surgical

A surgical breast lesion removal is a procedure to surgically remove an area of abnormal breast tissue, such as a lump, benign tumor, or suspicious mass, to diagnose or treat the underlying condition. The surgery is performed in a hospital or outpatient center under local or general anesthesia, with the surgeon making a small incision and carefully removing the targeted tissue, often guided by an imaging marker placed beforehand. The procedure is typically done as an outpatient. Removed tissue is examined in a laboratory to confirm the diagnosis and determine whether further treatment is needed.
You'd pay up to
$9,717 / Case Rate

A single, all-inclusive pricing methodology for a procedure in healthcare contracts, instead of separate charges for each service.

The estimated total cost of care without any insurance coverage or discounts.

$9,717

Without insurance

What goes into a price?

Negotiated prices across insurers

Lowest
$3,892
Highest
$11,795
Cash price
up to $9,717

Self pay or cash prices vary by facility when paying out of pocket without insurance benefits. The chart shows you how the lowest and highest amounts facilities charge for this service if you were paying without insurance benefits. If you're uninsured or not submitting a claim to insurance, you also have the right to a Good Faith Estimate under federal law. Contact the provider for a copy of your Good Faith Estimate or to better understand payment options available to you.

Procedures included in this package

This list includes the services and fees bundled into the Breast lesion removal - surgical Standard Service Package (SSP DE008). The final price for the procedure will depend on which services your provider ultimately performs, your insurance plan and your medical benefits.

Code Code Type Description
HCPCS 19120 Facility Fee Open Excision of Benign or Malignant Lesion in Breast, Male or Female
HCPCS 19120 Professional Fee Open Excision of Benign or Malignant Lesion in Breast, Male or Female

Disclaimer

Southern Ohio Medical Center is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.

In compliance with federal law, we provide a list of standard charges that are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient's unique needs.

You'd pay up to
$9,717 / Case Rate

A single, all-inclusive pricing methodology for a procedure in healthcare contracts, instead of separate charges for each service.

The estimated total cost of care without any insurance coverage or discounts.

Disclaimer

Southern Ohio Medical Center is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.

In compliance with federal law, we provide a list of standard charges that are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient's unique needs.

What’s the difference between an individual procedure and a Standard Service Package (SSP)?

Individual Procedure

Individual procedures, like blood tests, each have unique prices and billing codes (like a CPT or HCPCS code). While they can be billed alone, they're usually grouped with other procedures on a claim. This grouping is what determines the total cost of your care.

Standard Service Package (SSP)

A SSP combines all medical services, materials, and fees associated with a healthcare visit or procedure into a single bundle to offer a more comprehensive estimate.

Contact us to verify your estimate

Have your service name, code, and payment preference ready. If you’re using insurance, you may be asked for insurance details like your Member or Group ID.

Service Breast lesion removal - surgical
Service Code HCPCS 19120
Insurance I'm not using insurance
Location Southern Ohio Medical Center
When you contact us, you can say:
"Hi, I'm calling to verify a price for Breast lesion removal - surgical I found through Southern Ohio Medical Center's price estimate tool. Here is the code I’m looking at: HCPCS 19120. I'm not using insurance, can you confirm the cash pay estimate and help me schedule if needed?"
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