CMS Price Transparency Data

Breast lump removal

Facility: University of Arkansas Medical Sciences

Billing Code: 19120 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 19120
Insurance Median: $3,771
Cash Discount Price: $3,067
vs. Medicare Baseline: 0.94x Medicare

The contracted insurance negotiated median rate for a Breast lump removal at University of Arkansas Medical Sciences is $3,771. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,067. Compared to the federal Medicare reimbursement reference rate of $4,000.24, this hospital’s rate is 0.94x the Medicare baseline. Located in 4301 West Markham Street Mail Slot 612, Little Rock, AR.

Cash / Self-Pay

$3,067

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,771

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$4,000.24

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $4,000.24 (100%)

Cash / Self-Pay: $3,067 (77%)

Insurance Median: $3,771 (94%)

Cash: $3,067 (77% of Medicare)

Ins. Median: $3,771 (94% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $4,000.24 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Cigna	$1,641 - $3,807	41%
Triwest	$3,551	89%
Medicare (plans)	$3,661 - $3,734	92%
Va	$3,661	92%
Aetna	$3,697	92%
Tribute Health	$3,697	92%
Wellcare By Allwell	$3,734	93%
Wellcare Non	$3,734	93%
Blue Cross Blue Shield	$3,771 - $4,370	94%
Humana	$3,771	94%
Primewell Health Services	$3,771 - $10,287	94%
UnitedHealthcare	$3,771 - $4,162	94%
Essence Healthcare	$3,807	95%
Devoted Health Plan	$3,844	96%
Health Advantage	$4,370	109%
Ambetter / Centene	$5,381	135%
Northwest Health Plan	$6,205	155%
Qualchoice Novasys	$6,205	155%
Vantos	$6,223	156%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $3,067.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 19120.

Insurance In-Network Protection Plan

Contact your insurance company to confirm University of Arkansas Medical Sciences is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 19120.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.