CMS Price Transparency Data

Breast lump removal

Facility: Mena Regional Health System

Billing Code: 19120 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$1,044
about 0.3× the $4,000 Medicare rate · typically $459–$4,014
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,496
Well above the fair price
about $2,452 over the fair price · 0.9× Medicare
Medicare pays $4,000 Fair price $1,044 This hospital $3,496 Cash price $3,737 Hospital's list price $6,228

How we calculate the fair BaseRate →

How this hospital compares to other AR hospitals

Highest price of the 9 AR hospitals we have prices for — worth calling around.

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 $1,044 (about 0.3× the $4,000 Medicare rate). Mena Regional Health System charges insurers about $3,496, or about $3,737 in cash — well above the fair price. Located in Mena, AR.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $1,044. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

1 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $3,496 87%

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 311 North Morrow Street, Mena, AR 71953
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals