CMS Price Transparency Data

Breast lump removal

Facility: Riverview Regional Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,517
about 0.9× the $4,000 Medicare rate · typically $2,992–$3,530
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,495
About the fair price
about $22 under the fair price · 0.9× Medicare
Medicare pays $4,000 Fair price $3,517 This hospital $3,495 Cash price $3,494 Hospital's list price $19,824

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

Highest price of the 9 AL hospitals we have prices for — worth calling around.

Cheapest $555 Priciest $3,495

Black dot = this hospital, among the 9 AL hospitals with a price for this procedure. Full list below.

A fair price for a Breast lump removal is about $3,517 (about 0.9× the $4,000 Medicare rate). Riverview Regional Medical Center charges insurers about $3,495, or about $3,494 in cash — about the fair price. Located in Gadsden, AL.

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✓ Cigna✓ Humana AetnaKaiser 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 $1,704 - $3,495 43%
Blue Cross Blue Shieldmajor $1,785 - $3,495 45%
Cignamajor $3,495 87%
Humanamajor $3,320 83%
Devoted Health $3,564 89%
+ 6 smaller / regional plans $3,460 - $6,989
Government programs also on file: Medicare, Medicaid, Military & VA.
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: 600 South Third Street, Gadsden, AL 35901
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals