CMS Price Transparency Data

Breast lump removal

Facility: Community Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$4,526
about 1.1× the $4,000 Medicare rate · typically $2,446–$9,679
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,110
About the fair price
about $416 under the fair price · 1.0× Medicare
Medicare pays $4,000 Fair price $4,526 This hospital $4,110 Cash price $6,103 Hospital's list price $10,898

How we calculate the fair BaseRate →

How this hospital compares to other CO hospitals

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

Cheapest $511 Priciest $4,110

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

A fair price for a Breast lump removal is about $4,526 (about 1.1× the $4,000 Medicare rate). Community Hospital charges insurers about $4,110, or about $6,103 in cash — about the fair price. Located in Grand Junction, CO.

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 $4,110 103%
Blue Cross Blue Shieldmajor $4,521 113%
Aetnamajor $4,110 103%
Cignamajor $4,521 113%
Humanamajor $4,110 103%
Kaiser Permanentemajor $4,233 106%
+ 1 smaller / regional plan $3,494

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 2351 'G' Rd, Grand Junction, CO 81505
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals