Price Checker / CPT 19120
How much does Removal Of Breast Lesion cost?
CPT 19120 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is roughly 7.4x the fair price. This is well above fair — push back or dispute it.
Fair price
$860–$1,700
What this should cost
With insurance
~$2,950
Typical out-of-pocket
Overcharged if over
$2,150
Push back above this
The average hospital charge of $9,645 is $8,345 over the fair price (about 7.4x the fair rate).
What hospitals charge for Removal Of Breast Lesion
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Person Memorial Hospital ROXBORO, NC | $34,328 | — | 5889% |
| Starr Regional Medical Center , TN | $33,695 | — | 5779% |
| Ashley Regional Medical Center VERNAL, UT | $20,175 | — | 3420% |
| Hill Regional Hospital Hillsboro, TX | $21,121 | — | 3032% |
| Pacifica Hospital of the Valley Sun Valley, CA | $15,293 | — | 2568% |
| Castleview Hospital PRICE, UT | $14,814 | — | 2485% |
| Northern Light Blue Hill Hospital Blue Hill, ME | $683 | — | 2162% |
| Northern Light CA Dean Hospital Greenville Junction, ME | $683 | — | 2162% |
| Dimmit Regional Hospital Carrizo Springs, TX | $12,426 | — | 2068% |
| Down East Community Hospital Machias, ME | $12,922 | — | 1963% |
| Warren General Hospital WARREN, PA | $4,190 | — | 1796% |
| DeWitt Hospital and Nursing Home , AR | $9,079 | $9,079 | 1484% |
| Bradley County Medical Center WARREN, AR | $8,525 | — | 1387% |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham, TX | — | — | 1359% |
| Chadron Community Hospital Chadron, NE | $7,900 | — | 1223% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Removal Of Breast Lesion
CPT code 19120 refers to removal of breast lesion (billing description: "Removal of breast lesion"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $408 in a facility (hospital or surgery center) and $573 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.