CMS Price Transparency Data
Breast lump removal
Facility: Prattville Baptist Hospital
Billing Code: 19120 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$3,852
about 1.0× the $4,000 Medicare rate · typically $3,105–$3,852
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $3,852 Cash price $325 Hospital's list price $542
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✓ Humana CignaKaiser 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 | $407 - $3,874 | 10% |
| Blue Cross Blue Shieldmajor | $2,536 - $3,522 | 63% |
| Aetnamajor | $492 | 12% |
| Humanamajor | $370 - $3,698 | 9% |
| Ambetter (Centene) | $4,931 | 123% |
| + 1 smaller / regional plan | $370 - $3,804 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Enter your details and press estimate to compare.
Other Procedures at Prattville Baptist Hospital
Compare: Breast lump removal at other AL hospitals
- The East Alabama Healthcare Authority · Opelika $555
- USA Health University Hospital · Mobile $573
- Ochsner Choctaw General · Butler $593
- USA Health Children's & Women's Hospital · Mobile $602
- Baptist Medical Center South · Montgomery $1,673
- Whitfield Regional Hospital · Demopolis $3,375
- Hill Hospital of Sumter County · York $3,375
- J Paul Jones Hospital · Camden $3,375
Insurance negotiated median for the same procedure, sorted lowest first.