CMS Price Transparency Data

Breast lump removal

Facility: Highlands Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,666
about 0.9× the $4,000 Medicare rate · typically $2,660–$3,788
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,743
About the fair price
about $77 over the fair price · 0.9× Medicare
Medicare pays $4,000 Fair price $3,666 This hospital $3,743 Cash price $4,273 Hospital's list price $6,104

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 $3,743

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 $3,666 (about 0.9× the $4,000 Medicare rate). Highlands Medical Center charges insurers about $3,743, or about $4,273 in cash — about the fair price. Located in Scottsboro, 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✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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 $3,706 93%
Aetnamajor $3,780 94%
Cignamajor $3,706 - $6,480 93%
Humanamajor $3,706 93%
Devoted Health $3,817 95%
+ 2 smaller / regional plans $3,706 - $8,800

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Facility Profile & Credentials

  • Address: 380 Woods Cove Road, Scottsboro, AL 35768
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals