CMS Price Transparency Data

Breast lump removal

Facility: Good Samaritan Medical Center LLC

Billing Code: 19120 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$1,646
about 0.4× the $4,000 Medicare rate · typically $499–$6,281
modeled estimate · not a bill or quote
What this hospital charges insurers
$6,195
Well above the fair price
about $4,549 over the fair price · 1.5× Medicare
Medicare pays $4,000 Fair price $1,646 This hospital $6,195

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 $6,195

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 $1,646 (about 0.4× the $4,000 Medicare rate). Good Samaritan Medical Center LLC charges insurers about $6,195 — well above the fair price. Located in Lafayette, CO.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $1,646. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $3,810 - $7,496 95%
Blue Cross Blue Shieldmajor $11,080 277%
Aetnamajor $6,510 - $7,200 163%
Cignamajor $3,630 - $5,880 91%
Humanamajor $3,621 91%
Kaiser Permanentemajor $3,848 - $5,838 96%
GEHA $7,200 - $7,496 180%
SelectHealth $3,848 96%
+ 3 smaller / regional plans $3,810 - $10,006

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.

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Facility Profile & Credentials

  • Address: 200 Exempla Cir, Lafayette, CO 80026
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals