CMS Price Transparency Data

Breast lump removal

Facility: Morgan Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$3,278
about 0.8× the $4,000 Medicare rate · typically $1,452–$6,834
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,344
Below the fair price — a good deal
about $934 under the fair price · 0.6× Medicare
Medicare pays $4,000 Fair price $3,278 This hospital $2,344 Hospital's list price $5,253

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 $2,344

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 $3,278 (about 0.8× the $4,000 Medicare rate). Morgan Medical Center charges insurers about $2,344 — below the fair price — a good deal. Located in Madison, GA.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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 $2,400 - $3,400 60%
Aetnamajor $2,266 - $3,000 57%
Cignamajor $1,400 35%
Humanamajor $1,800 45%
Government programs also on file: Medicare.

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: 1740 Lions Club Road, Madison, GA 30650
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals