CMS Price Transparency Data
Breast lump removal
Facility: Boulder Community Health
Billing Code: 19120 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$1,588
about 0.4× the $4,000 Medicare rate · typically $594–$5,645
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $1,588 Cash price $417 Hospital's list price $834
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 | $415 - $3,954 | 10% |
| Blue Cross Blue Shieldmajor | $481 - $14,541 | 12% |
| Aetnamajor | $318 - $3,848 | 8% |
| Cignamajor | $667 - $6,405 | 17% |
| Humanamajor | $417 - $3,848 | 10% |
| Kaiser Permanentemajor | $798 - $9,017 | 20% |
| Devoted Health | $334 - $3,848 | 8% |
| SelectHealth | $317 - $8,967 | 8% |
| + 12 smaller / regional plans | $347 - $3,964 |
Government programs also on file: Medicare, Medicaid.
Excludes 11 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Boulder Community Health
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.