CMS Price Transparency Data
Breast lump removal
Facility: Baptist Memorial Hospital Jonesboro, Inc.
Billing Code: 19120 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 19120
- Insurance Median: $5,293
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.32x Medicare
The contracted insurance negotiated median rate for a Breast lump removal at Baptist Memorial Hospital Jonesboro, Inc. is $5,293. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $4,000.24, this hospital’s rate is 1.32x the Medicare baseline. Located in 4800 East Johnson Avenue, Jonesboro, AR.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$5,293
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%)
Insurance Median: $5,293 (132%)
Ins. Median: $5,293 (132% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Home State Health Plan | $297 | 7% |
| Summit Community Care | $320 | 8% |
| Caresource | $330 | 8% |
| Access Health Services | $336 - $5,646 | 8% |
| Humana | $675 - $3,705 | 17% |
| Aetna | $754 - $3,705 | 19% |
| Cigna | $1,105 - $3,564 | 28% |
| UnitedHealthcare | $1,511 - $3,634 | 38% |
| Multiplan | $2,476 | 62% |
| Triwest | $3,387 | 85% |
| Blue Cross Blue Shield | $3,496 - $3,599 | 87% |
| Springs Of Jonesboro | $3,529 | 88% |
| Vaccn | $3,529 | 88% |
| Veterans Evaluation Services | $3,529 | 88% |
| Novasys | $3,564 - $4,587 | 89% |
| Devoted Health | $3,599 | 90% |
| Primewell | $3,705 - $9,880 | 93% |
| Shared Health | $3,705 | 93% |
| Arlington Community Schools | $5,293 | 132% |
| Armstrong Relocation | $5,293 | 132% |
| Ashley Furniture Stores | $5,293 | 132% |
| Bartlett City Schools | $5,293 | 132% |
| Brimhall Foods | $5,293 | 132% |
| Building Plastic | $5,293 | 132% |
| Cannon Motor Company | $5,293 | 132% |
| Carlisle | $5,293 | 132% |
| City Of Bartlett | $5,293 | 132% |
| City Of Lakeland | $5,293 | 132% |
| Collierville Schools | $5,293 | 132% |
| Crittenden County | $5,293 | 132% |
| Davidson Hospitality | $5,293 | 132% |
| Desoto Co Board Of Supervisors | $5,293 | 132% |
| Dunn Investment Company | $5,293 | 132% |
| Eas Mssc Schools | $5,293 | 132% |
| Gossett Motor Cars | $5,293 | 132% |
| Heavy Machines | $5,293 | 132% |
| Hollowell Industries | $5,293 | 132% |
| Hospitality Management Advisors | $5,293 | 132% |
| Jas D Collier | $5,293 | 132% |
| Lakeland School System | $5,293 | 132% |
| Malco Theaters | $5,293 | 132% |
| Mechanical Systems | $5,293 | 132% |
| Mid-South Transport | $5,293 | 132% |
| Patterson Warehouses | $5,293 | 132% |
| Radians | $5,293 | 132% |
| Rei Nation | $5,293 | 132% |
| Retzer Resources | $5,293 | 132% |
| Ritchey Automotive | $5,293 | 132% |
| Security One | $5,293 | 132% |
| Silver Tree | $5,293 | 132% |
| State Systems | $5,293 | 132% |
| Town Of Collierville | $5,293 | 132% |
| United Tn Holdings | $5,293 | 132% |
| Vaughn Electric | $5,293 | 132% |
| W W Wood Products | $5,293 | 132% |
| Watkins Uiberall | $5,293 | 132% |
| Y K Auto Group | $5,293 | 132% |
| First Community Bank | $5,646 | 141% |
| First State Bank Trust | $5,998 | 150% |
| Ppo Plus | $5,998 | 150% |
| Burch Food Services | $6,351 | 159% |
| First Choice Health Plan Of Ms | $6,351 | 159% |
| French Camp Academy | $6,351 | 159% |
| Hattiesburg Clinic | $6,351 | 159% |
| Heartland Catfish Company | $6,351 | 159% |
| W G Yates | $6,351 | 159% |
| Employers Health Network | $7,057 | 176% |
| Harding Academy | $7,057 | 176% |