CMS Price Transparency Data

Breast lump removal

Facility: Memorial Health Meadows Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$5,552
about 1.4× the $4,000 Medicare rate · typically $3,721–$6,456
modeled estimate · not a bill or quote
What this hospital charges insurers
$5,175
About the fair price
about $377 under the fair price · 1.3× Medicare
Medicare pays $4,000 Fair price $5,552 This hospital $5,175

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 $5,175

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 $5,552 (about 1.4× the $4,000 Medicare rate). Memorial Health Meadows Hospital charges insurers about $5,175 — about the fair price. Located in Vidalia, GA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Aetna✓ Cigna Blue Cross Blue ShieldHumanaKaiser 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 $5,400 135%
Aetnamajor $18,000 - $25,200 450%
Cignamajor $10,047 251%
Ambetter (Centene) $2,984 75%
Amerigroup $2,187 55%
Friday Health $4,368 109%
Health Net $9,674 242%
+ 4 smaller / regional plans $1,758 - $7,512
Government programs also on file: Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: One Meadows Parkway, Vidalia, GA 30474
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals