CMS Price Transparency Data

Breast lump removal

Facility: White River Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$2,293

about 0.6× the $4,000 Medicare rate · typically $708–$3,740

modeled estimate · not a bill or quote

Medicare pays $4,000 Fair price $2,293 Cash price $770 Hospital's list price $1,026

How we calculate the fair BaseRate →

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✓ Cigna HumanaKaiser 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	$3,750	94%
Blue Cross Blue Shieldmajor	$100 - $3,750	2%
Aetnamajor	$903 - $3,750	23%
Cignamajor	$3,862	97%
Ambetter (Centene)	$5,250	131%
WellCare	$3,937	98%
+ 10 smaller / regional plans	$575 - $10,499

Government programs also on file: Medicare.

Excludes 1 rental-network / third-party entry (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 770), 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 White River Medical Center 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 White River Medical Center

Compare: Breast lump removal at other AR hospitals

Mercy Hospital Berryville · Berryville $609
Mercy Hospital Paris · Paris $651
Delta Memorial Hospital · Dumas $784
CHI St Vincent Morrilton · Morrilton $2,008
Chicot Memorial Medical Center · Lake Village $2,761
Chi-St Vincent Infirmary · Little Rock $2,992
St Vincent Medical Center/North · Sherwood $2,992
Conway Regional Medical Center, Inc · Conway $3,311

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