CMS Price Transparency Data

Breast lump removal

Facility: San Luis Valley Regional Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$3,007

about 0.8× the $4,000 Medicare rate · typically $1,371–$4,590

modeled estimate · not a bill or quote

Medicare pays $4,000 Fair price $3,007 Cash price $1,737 Hospital's list price $2,171

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.

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

✓ Aetna✓ Cigna✓ Kaiser Permanente UnitedHealthcareBlue Cross Blue ShieldHumana

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
Aetnamajor	$607 - $1,900	15%
Cignamajor	$2,062	52%
Kaiser Permanentemajor	$4,130	103%
Presbyterian	$9,293	232%
+ 4 smaller / regional plans	$383 - $2,062

Government programs also on file: Military & VA.

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 1,737), 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 San Luis Valley Regional 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 San Luis Valley Regional Medical Center

Compare: Breast lump removal at other CO hospitals

Melissa Memorial Hospital · Holyoke $511
Children's Hospital Colorado · Aurora $574
Spanish Peaks Regional Health Center · Walsenburg $587
Gunnison Valley Hospital · Gunnison $685
St Thomas More Hospital · Canon City $3,495
University of Colorado Hospital Authority · Aurora $3,698
Craig Hospital · Englewood $3,802
Uchealth Greeley Hospital · Greeley $3,829

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