CMS Price Transparency Data

Breast lump removal

Facility: Eastern Idaho Regional Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$3,450
about 0.9× the $4,000 Medicare rate · typically $1,300–$5,086
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,752
About the fair price
about $302 over the fair price · 0.9× Medicare
Medicare pays $4,000 Fair price $3,450 This hospital $3,752

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

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

Cheapest $517 Priciest $3,752

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

A fair price for a Breast lump removal is about $3,450 (about 0.9× the $4,000 Medicare rate). Eastern Idaho Regional Medical Center charges insurers about $3,752 — about the fair price. Located in Idaho Falls, ID.

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✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $12,318 308%
Blue Cross Blue Shieldmajor $397 - $9,933 10%
Molina $397 10%
+ 1 smaller / regional plan $5,440

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Facility Profile & Credentials

  • Address: 3100 Channing Way, Idaho Falls, ID 83404
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals