CMS Price Transparency Data

Breast lump removal

Facility: Ochsner Choctaw General

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,014

about 0.3× the $4,000 Medicare rate · typically $635–$2,123

modeled estimate · not a bill or quote

What this hospital charges insurers

$593

Below the fair price — a good deal

about $421 under the fair price · 0.1× Medicare

Medicare pays $4,000 Fair price $1,014 This hospital $593 Cash price $914 Hospital's list price $1,202

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

One of the lower prices — 6 of 8 other AL hospitals charge more for the same procedure.

Cheapest $555 Priciest $3,387

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 $1,014 (about 0.3× the $4,000 Medicare rate). Ochsner Choctaw General charges insurers about $593, or about $914 in cash — below the fair price — a good deal. Located in Butler, AL.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$370 - $1,032	9%
Blue Cross Blue Shieldmajor	$312	8%
Aetnamajor	$776	19%
Cignamajor	$370 - $593	9%
Humanamajor	$307 - $370	8%
WellCare	$370	9%
+ 5 smaller / regional plans	$388 - $1,090

Government programs also on file: Medicare, Medicaid.

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 914), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 19120.

Insurance Before you use insurance

Call your insurance company to confirm Ochsner Choctaw General is in-network.
Ask your insurer whether prior approval is required for CPT code 19120.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Ochsner Choctaw General

Compare: Breast lump removal at other AL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.