CMS Price Transparency Data
Breast lump removal
Facility: Samuel Mahelona Memorial Hospital
Billing Code: 19120 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$428
about 0.1× the $4,000 Medicare rate · typically $391–$2,595
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $428 Cash price $2,206 Hospital's list price $3,394
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Kaiser Permanente Blue Cross Blue ShieldAetnaCignaHumana
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 | $181 - $434 | 5% |
| Kaiser Permanentemajor | $181 - $492 | 5% |
| Devoted Health | $451 | 11% |
| + 6 smaller / regional plans | $181 - $4,632 |
Self-Pay How to get the cash price
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Other Procedures at Samuel Mahelona Memorial Hospital
Compare: Breast lump removal at other HI hospitals
- Kohala Hospital · Kapaau $3,850
- Kapiolani Medical Center for Women & Children · Honolulu $3,925
- Kaiser Foundation Hospital · Honolulu $4,119
- Kuakini Medical Center · Honolulu $4,237
- The Queens Medical Center · Honolulu $4,536
- Kona Community Hospital · Kealakekua $4,625
- Pali Momi Medical Center · Aiea $4,743
- Wilcox Memorial Hospital · Lihue $4,862
Insurance negotiated median for the same procedure, sorted lowest first.