CMS Price Transparency Data

Breast lump removal

Facility: St Lukes Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,401
about 0.4× the $4,000 Medicare rate · typically $826–$1,818
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,264
About the fair price
about $137 under the fair price · 0.3× Medicare
Medicare pays $4,000 Fair price $1,401 This hospital $1,264 Cash price $1,841 Hospital's list price $2,301

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

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

Cheapest $465 Priciest $1,264

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

A fair price for a Breast lump removal is about $1,401 (about 0.4× the $4,000 Medicare rate). St Lukes Hospital charges insurers about $1,264, or about $1,841 in cash — about the fair price. Located in Cedar Rapids, IA.

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 $391 - $9,534 10%
Blue Cross Blue Shieldmajor $379 - $3,621 9%
Aetnamajor $372 - $7,773 9%
Cignamajor $989 25%
Humanamajor $391 - $3,728 10%
Amerigroup $3,368 84%
HealthPartners $754 - $6,072 19%
Molina $379 - $3,621 9%
+ 2 smaller / regional plans $391 - $3,728

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Facility Profile & Credentials

  • Address: 1026 A Ave Ne, Cedar Rapids, IA 52402
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals