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Cost of benign breast lesion removal in Illinois

The average cash price for benign breast lesion removal care in Illinois is $2,792 at a surgery center versus $4,567 at an outpatient hospital. While a surgery center may offer fewer complimentary services, and may not have the full range of support services that outpatient hospital provides, it may still be worth the (39%) you'd save when comparing the cost of benign breast lesion removal performed at an outpatient hospital. Read More

Average cash price in Illinois

A common benign breast lesion removal at surgery center facility in Illinois includes

  Units Avg Cash price

Provider

General surgeon visit provider fee

First time visit Standard
1 $134

Provider fee to remove a benign lesion including margins, except skin tag

4.0 CM or more Standard
1 $391

Facility

Surgery center fee to remove a benign lesion including margins, except skin tag

Standard Standard
1 $1,333

Imaging

Radiology fee for breast(s) MRI

With and without contrast Standard
1 $530

Prescriptions

HYDROCODONE-ACETAMINOPHEN

Standard Standard
30 $17

Anesthesia

Anesthesiologist fee to be "put under" for procedure

Level 2 Standard
1 $144

Anesthesiologist time to be "put under" for procedure

Per minute Standard
113 $242
Total average cash price   $2,791.52

A common benign breast lesion removal at outpatient hospital facility in Illinois includes

  Units Avg Cash price

Provider

General surgeon visit provider fee

First time visit Standard
1 $134

Provider fee to remove a benign lesion including margins, except skin tag

4.0 CM or more Standard
1 $391

Facility

Outpatient Hospital fee to remove a benign lesion including margins, except skin tag

level 3 Standard
1 $3,109

Imaging

Radiology fee for breast(s) MRI

With and without contrast Standard
1 $530

Prescriptions

HYDROCODONE-ACETAMINOPHEN

Standard Standard
30 $17

Anesthesia

Anesthesiologist fee to be "put under" for procedure

Level 2 Standard
1 $144

Anesthesiologist time to be "put under" for procedure

Per minute Standard
113 $242
Total average cash price   $4,567.25

Benign breast lesions are lumps in the breast that are non-cancerous. The following conditions may result in a benign breast lesion:

  • Breast cysts
  • Fibroadenomas
  • Fibrocystic breast changes
  • Hyperplasia
  • Intraductal papilloma
  • Mammary duct ectasia
  • Traumatic fat necrosis

Common factors that lead to benign breast lesions include:

  • Breast infections
  • Fibrocystic changes
  • Scar tissue from a breast injury
  • Hormone fluctuations
  • Medications
  • Caffeinated beverages

Not all benign breast tumors require removal. Many will go away without treatment. Cysts, fibrocystic changes, and fibroadenomas will often go away on their own. Your healthcare provider may evaluate the tumor with a mammogram, MRI, or ultrasound. Sometimes the tumor can be watched and monitored for any changes.

Breast lump removal, lumpectomy, or excisional breast biopsy surgery takes about one hour. The procedure is most often performed under general anesthesia. You will be completely asleep during the surgery.

Full recovery after a breast cyst removal will take about a month. However, most times, you’ll be feeling back to normal within two to three days. You’ll need to avoid heavy activity for about one to two weeks. In some cases, you may have a small drainage tube placed that could stay in place up to two weeks after surgery.

After the removal of a fibroadenoma, it is possible to develop new fibroadenomas. These new lumps will need to be evaluated with a mammogram, ultrasound, or biopsy to ensure they are not cancerous.

In general, fibroadenomas are benign and do not increase the risk for cancer. Fibroadenomas that are not changing in size or causing pain may be monitored. However, any changes in the lump should be quickly evaluated and may prompt further testing and removal of the fibroadenoma to ensure it will not cause a problem.

About the benign breast lesion removal Average Cash Prices

This procedure is most commonly performed at either a surgery center or an outpatient hospital.

Surgery centers, also known as ambulatory surgery centers (ASCs), are independent, licensed medical facilities that are governed by distinct regulatory requirements compared with a hospital. Procedures performed at an ASCs are often less expensive than when they are performed at an outpatient hospital, but they typically offer fewer complimentary services, and may not have the full-range of support services that a hospital provides.

Outpatient facilities are outpatient departments or clinics that may be within or next to a hospital, but is owned and run by the affiliated hospital. These facilities can perform surgical treatments and procedures that do not require an overnight stay. Procedures performed at an outpatient hospital are often more expensive than when they are performed in an ambulatory surgery center, but outpatient hospitals may offer more complimentary and support services for patients because they are connected to the hospital system.

* Savings estimate based on a study of more than 1 billion claims comparing self-pay (or cash pay) prices of a frequency-weighted market basket of procedures to insurer-negotiated rates for the same. Claims were collected between July 2017 and July 2019. R.Lawrence Van Horn, Arthur Laffer, Robert L.Metcalf. 2019. The Transformative Potential for Price Transparency in Healthcare: Benefits for Consumers and Providers. Health Management Policy and Innovation, Volume 4, Issue 3.

Sidecar Health offers and administers a variety of plans including ACA compliant and excepted benefit plans. Coverage and plan options may vary or may not be available in all states.

Your actual costs may be higher or lower than these cost estimates. Check with your provider and health plan details to confirm the costs that you may be charged for a service or procedure.You are responsible for costs that are not covered and for getting any pre-authorizations or referrals required by your health plan. Neither payments nor benefits are guaranteed. Provider data, including price data, provided in part by Turquoise Health.

The site is not a substitute for medical or healthcare advice and does not serve as a recommendation for a particular provider or type of medical or healthcare.