CMS Price Transparency Data

Breast lump removal

Facility: South Peninsula Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$1,469
about 0.4× the $4,000 Medicare rate · typically $578–$5,039
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,517
About the fair price
about $48 over the fair price · 0.4× Medicare
Medicare pays $4,000 Fair price $1,469 This hospital $1,517 Cash price $2,481 Hospital's list price $3,308

How we calculate the fair BaseRate →

How this hospital compares to other AK hospitals

Lowest price of the 6 AK hospitals we have prices for — a strong deal.

Cheapest $1,517 Priciest $9,193

Black dot = this hospital, among the 6 AK hospitals with a price for this procedure. Full list below.

A fair price for a Breast lump removal is about $1,469 (about 0.4× the $4,000 Medicare rate). South Peninsula Hospital charges insurers about $1,517, or about $2,481 in cash — about the fair price. Located in Homer, AK.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $1,233 31%
Blue Cross Blue Shieldmajor $1,800 - $2,082 45%
Aetnamajor $2,811 - $2,977 70%
Cignamajor $3,142 79%
GEHA $2,977 74%
Moda Health $3,142 79%
+ 6 smaller / regional plans $740 - $3,241
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 4300 Bartlett St, Homer, AK 99603
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals