CMS Price Transparency Data

Breast lump removal

Facility: Longs Peak Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$1,974
about 0.5× the $4,000 Medicare rate · typically $473–$5,733
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,848
Well above the fair price
about $1,874 over the fair price · 1.0× Medicare
Medicare pays $4,000 Fair price $1,974 This hospital $3,848

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 $3,848

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 $1,974 (about 0.5× the $4,000 Medicare rate). Longs Peak Hospital charges insurers about $3,848 — well above the fair price. Located in Longmont, 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 $1,974. 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 $3,848 - $6,676 96%
Blue Cross Blue Shieldmajor $1,852 - $12,921 46%
Aetnamajor $3,617 - $3,848 90%
Cignamajor $2,521 - $3,848 63%
Humanamajor $3,848 96%
Kaiser Permanentemajor $3,848 96%
Devoted Health $3,848 96%
SelectHealth $1,174 - $4,201 29%

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: 1750 E Ken Pratt Blvd, Longmont, CO 80504
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals