CMS Price Transparency Data

Breast lump removal

Facility: St Thomas More Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$3,560
about 0.9× the $4,000 Medicare rate · typically $1,262–$11,223
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,495
About the fair price
about $65 under the fair price · 0.9× Medicare
Medicare pays $4,000 Fair price $3,560 This hospital $3,495

How we calculate the fair BaseRate →

How this hospital compares to other CO hospitals

A typical price — 4 charge more and 4 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 $3,560 (about 0.9× the $4,000 Medicare rate). St Thomas More Hospital charges insurers about $3,495 — about the fair price. Located in Canon City, CO.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $3,495 87%

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Facility Profile & Credentials

  • Address: 1338 Phay Ave, Canon City, CO 81212
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals