CMS Price Transparency Data

Breast lump removal

Facility: Tucson Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$3,764
about 0.9× the $4,000 Medicare rate · typically $976–$4,153
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,095
About the fair price
about $331 over the fair price · 1.0× Medicare
Medicare pays $4,000 Fair price $3,764 This hospital $4,095

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

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

Cheapest $497 Priciest $4,095

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

A fair price for a Breast lump removal is about $3,764 (about 0.9× the $4,000 Medicare rate). Tucson Medical Center charges insurers about $4,095 — about the fair price. Located in Tucson, AZ.

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 $2,289 - $4,177 57%
Blue Cross Blue Shieldmajor $2,167 - $6,143 54%
Aetnamajor $5,355 134%
Cignamajor $881 22%
Humanamajor $4,157 104%
Banner Health $2,289 57%
Devoted Health $4,382 110%
+ 2 smaller / regional plans $2,289 - $5,242

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Facility Profile & Credentials

  • Address: 5301 East Grant Road, Tucson, AZ 85712
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals