CMS Price Transparency Data

Breast lump removal

Facility: Gunnison Valley Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$893
about 0.2× the $4,000 Medicare rate · typically $422–$3,271
modeled estimate · not a bill or quote
What this hospital charges insurers
$685
Below the fair price — a good deal
about $208 under the fair price · 0.2× Medicare
Medicare pays $4,000 Fair price $893 This hospital $685 Cash price $1,870 Hospital's list price $2,200

How we calculate the fair BaseRate →

How this hospital compares to other CO hospitals

A typical price — 5 charge more and 3 charge less, among the 9 CO hospitals compared.

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 $893 (about 0.2× the $4,000 Medicare rate). Gunnison Valley Hospital charges insurers about $685, or about $1,870 in cash — below the fair price — a good deal. Located in Gunnison, CO.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $2,090 52%
Blue Cross Blue Shieldmajor $1,929 48%
Aetnamajor $602 15%
Cignamajor $685 17%
+ 9 smaller / regional plans $685 - $2,090
Government programs also on file: Medicare, Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 711 N Taylor St, Gunnison, CO 81230
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals