CMS Price Transparency Data

Breast lump removal

Facility: Wilcox Memorial Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$4,143
about 1.0× the $4,000 Medicare rate · typically $918–$4,867
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,862
Above the fair price
about $719 over the fair price · 1.2× Medicare
Medicare pays $4,000 Fair price $4,143 This hospital $4,862

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

On the higher side — 7 of 8 other HI hospitals charge less.

Cheapest $3,850 Priciest $4,930

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

A fair price for a Breast lump removal is about $4,143 (about 1.0× the $4,000 Medicare rate). Wilcox Memorial Hospital charges insurers about $4,862 — above the fair price. Located in Lihue, HI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $4,143. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
Devoted Health $5,088 127%
+ 3 smaller / regional plans $4,625 - $5,447

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: 3-3420 Kuhio Highway, Lihue, HI 96766
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Federal
  • Hospital Type: Acute Care Hospitals