CMS Price Transparency Data
Breast lump removal
Facility: Arkansas Surgical Hospital
Billing Code: 19120 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 19120
- Insurance Median: $7,902
- Cash Discount Price: $12,485
- vs. Medicare Baseline: 1.98x Medicare
The contracted insurance negotiated median rate for a Breast lump removal at Arkansas Surgical Hospital is $7,902. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,485. Compared to the federal Medicare reimbursement reference rate of $4,000.24, this hospital’s rate is 1.98x the Medicare baseline. Located in 5201 North Shore Drive, No Little Rock, AR.
Cash / Self-Pay
$12,485
Average discount available for prompt cash payment at this facility.
Insurance Median
$7,902
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: $12,485 (312%)
Insurance Median: $7,902 (198%)
Cash: $12,485 (312% of Medicare)
Ins. Median: $7,902 (198% 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 |
|---|---|---|
| Medicade Arkansas | $320 - $850 | 8% |
| Medicaid / KanCare | $320 - $850 | 8% |
| All Savers | $2,142 - $17,312 | 54% |
| All Savers Insurance | $2,142 - $17,312 | 54% |
| Bind | $2,142 - $17,312 | 54% |
| Freedom Life Ushealth | $2,142 - $17,312 | 54% |
| Geha | $2,142 - $17,312 | 54% |
| Golden Rule | $2,142 - $17,312 | 54% |
| Golden Rule Ins | $2,142 - $17,312 | 54% |
| Golden Rule Insurance | $2,142 - $17,312 | 54% |
| Healthscope Benefits | $2,142 - $17,312 | 54% |
| Medica | $2,142 - $17,312 | 54% |
| Oxford | $2,142 - $17,312 | 54% |
| Oxford Life | $2,142 - $17,312 | 54% |
| Oxford Life Ins Company | $2,142 - $17,312 | 54% |
| Oxford Life Insurance | $2,142 - $17,312 | 54% |
| Oxford Life Insurance Co | $2,142 - $17,312 | 54% |
| Surest | $2,142 - $17,312 | 54% |
| United Healtcare Global | $2,142 - $17,312 | 54% |
| United Hlth Shared Servic | $2,142 - $17,312 | 54% |
| UnitedHealthcare | $2,142 - $17,312 | 54% |
| Ushealthgroup | $2,142 - $17,312 | 54% |
| Blue Advantage | $3,496 - $17,312 | 87% |
| Blue Cross Blue Shield | $3,496 - $17,312 | 87% |
| Care First | $3,496 - $17,312 | 87% |
| Health Advantage | $3,496 - $17,312 | 87% |
| Premera | $3,496 - $17,312 | 87% |
| True Blue | $3,496 - $14,113 | 87% |
| True Blue Metallic | $3,496 - $14,113 | 87% |
| Aarp | $3,512 - $12,111 | 88% |
| Aarp Supplemental | $3,512 - $12,111 | 88% |
| Aetna | $3,512 - $19,758 | 88% |
| Allianz Resolution Manage | $3,512 - $12,111 | 88% |
| Allwell | $3,512 - $12,111 | 88% |
| Americo | $3,512 - $12,111 | 88% |
| Bankers Fidelity | $3,512 - $12,111 | 88% |
| Bankers Life And Casualty | $3,512 - $12,111 | 88% |
| Cigna | $3,512 - $17,500 | 88% |
| Healthspring | $3,512 - $12,111 | 88% |
| Hmo Medipak Adv | $3,512 - $12,111 | 88% |
| Hmo Medipak Adv Plan | $3,512 - $12,111 | 88% |
| Humana | $3,512 - $12,111 | 88% |
| Medadvantage | $3,512 - $12,111 | 88% |
| Medicare (plans) | $3,512 - $12,111 | 88% |
| Medipak | $3,512 - $12,111 | 88% |
| Medipak Advantage | $3,512 - $12,111 | 88% |
| Railroad Retirement | $3,512 - $12,111 | 88% |
| Sterling Option 1 | $3,512 - $12,111 | 88% |
| Tricare | $3,512 - $12,111 | 88% |
| Vantage Health | $3,512 - $12,111 | 88% |
| Vantage Health Plan Inc | $3,512 - $12,111 | 88% |
| Vetern Choice Program | $3,512 - $12,111 | 88% |
| Wellcare | $3,512 - $12,111 | 88% |
| Wps Vapc3 | $3,512 - $12,111 | 88% |
| Allegiance | $3,586 - $17,500 | 90% |
| Allied Benefit System | $3,586 - $17,500 | 90% |
| Apwu | $3,586 - $17,500 | 90% |
| Apwu Health Plan | $3,586 - $17,500 | 90% |
| Nalc | $3,586 - $17,500 | 90% |
| Nalc Health Benefit Plan | $3,586 - $17,500 | 90% |
| Nalc Medical Claims | $3,586 - $17,500 | 90% |
| Priority Health | $3,586 - $17,500 | 90% |
| Providence Health Plan | $3,586 - $17,500 | 90% |
| S&S Healthcare Strategies | $3,586 - $17,500 | 90% |
| Tufts Health Plan | $3,586 - $17,500 | 90% |
| Ambetter / Centene | $4,917 - $14,525 | 123% |
| Qualchoice | $5,268 - $18,166 | 132% |
| Qualchoice Adv Hmo | $5,268 - $18,166 | 132% |
| Qualchoice Exchange | $5,268 - $18,166 | 132% |
| Qualchoice Health Ins | $5,268 - $18,166 | 132% |
| Municipal Health | $7,030 - $10,122 | 176% |
| Municipal Health Benefit Fund | $7,030 - $10,122 | 176% |
| American Continental Life | $7,902 - $19,758 | 198% |