CMS Price Transparency Data

Breast lump removal

Facility: Mercy Hospital Paris

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,213

about 0.3× the $4,000 Medicare rate · typically $478–$3,765

modeled estimate · not a bill or quote

What this hospital charges insurers

$651

Below the fair price — a good deal

about $562 under the fair price · 0.2× Medicare

Medicare pays $4,000 Fair price $1,213 This hospital $651 Cash price $922 Hospital's list price $1,418

How we calculate the fair BaseRate →

How this hospital compares to other AR hospitals

One of the lower prices — 7 of 8 other AR hospitals charge more for the same procedure.

Cheapest $609 Priciest $3,496

Black dot = this hospital, among the 9 AR hospitals with a price for this procedure. Full list below.

A fair price for a Breast lump removal is about $1,213 (about 0.3× the $4,000 Medicare rate). Mercy Hospital Paris charges insurers about $651, or about $922 in cash — below the fair price — a good deal. Located in Paris, AR.

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	$403	10%
Blue Cross Blue Shieldmajor	$403 - $1,276	10%
Aetnamajor	$403 - $922	10%
Cignamajor	$424 - $1,205	11%
Humanamajor	$403 - $1,205	10%
Ambetter (Centene)	$651	16%
HealthLink	$1,205	30%
+ 35 smaller / regional plans	$403 - $7,659

Government programs also on file: Medicare, Medicaid, Military & VA.

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 922), 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 Mercy Hospital Paris 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 Mercy Hospital Paris

Compare: Breast lump removal at other AR hospitals

Mercy Hospital Berryville · Berryville $609
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
CHI St. Vincent Hospital Hot Springs · Hot Springs $3,496

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