CMS Price Transparency Data
Breast lump removal
Facility: Mercy Regional Medical Center
Billing Code: 19120 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$647
about 0.2× the $4,000 Medicare rate · typically $407–$2,876
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $647
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 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 | $407 | 10% |
| Blue Cross Blue Shieldmajor | $407 - $3,905 | 10% |
| Aetnamajor | $407 | 10% |
| Cignamajor | $407 | 10% |
| Humanamajor | $407 | 10% |
| Kaiser Permanentemajor | $407 | 10% |
| + 3 smaller / regional plans | $407 |
Government programs also on file: Medicare.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Mercy 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.