CMS Price Transparency Data

Breast lump removal

Facility: Saint Alphonsus Regional Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$251

about 0.1× the $4,000 Medicare rate · typically $214–$855

modeled estimate · not a bill or quote

Medicare pays $4,000 Fair price $251

How we calculate the fair BaseRate →

Insurer prices not shown for this procedure

This hospital’s published rates for this billing code don’t look like a per-visit price — they appear to be a full-stay total filed under an hourly code — so we’re not showing a per-insurer breakdown we can’t stand behind. The fair price above is your best reference; call the hospital’s billing office to confirm the actual charge.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 19120.

Insurance Before you use insurance

Call your insurance company to confirm Saint Alphonsus Regional Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 19120.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Other Procedures at Saint Alphonsus Regional Medical Center

Compare: Breast lump removal at other ID hospitals

Clearwater Valley Hospital & Clinics · Orofino $517
St Mary's Hospital · Cottonwood $517
Kootenai Health · Coeur D'Alene $545
Teton Valley Hospital · Driggs $598
Benewah Community Hospital · Saint Maries $715
West Valley Medical Center · Caldwell $2,028
Grove Creek Medical Center · Blackfoot $2,889
Treasure Valley Hospital · Boise $3,158

Insurance negotiated median for the same procedure, sorted lowest first.