CMS Price Transparency Data

Breast lump removal

Facility: Washington County Regional Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$3,468
about 0.9× the $4,000 Medicare rate · typically $1,618–$5,769
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,431
About the fair price
about $37 under the fair price · 0.9× Medicare
Medicare pays $4,000 Fair price $3,468 This hospital $3,431 Cash price $6,550 Hospital's list price $13,100

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

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

Cheapest $518 Priciest $3,431

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

A fair price for a Breast lump removal is about $3,468 (about 0.9× the $4,000 Medicare rate). Washington County Regional Medical Center charges insurers about $3,431, or about $6,550 in cash — about the fair price. Located in Sandersville, GA.

What each insurance company pays

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

5 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 $3,141 79%
Blue Cross Blue Shieldmajor $3,431 - $9,825 86%
Aetnamajor $9,170 229%
Cignamajor $10,218 255%
Humanamajor $3,431 - $9,825 86%
Ambetter (Centene) $4,461 112%
Amerigroup $5,030 126%
CareSource $4,585 115%
Government programs also on file: Medicare, Medicaid.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 610 Sparta Road, Sandersville, GA 31082
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals