Breast lump removal
Facility: Madison Memorial Hospital
Billing Code: 19120 (CPT)
Highest price of the 9 ID hospitals we have prices for — worth calling around.
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 $3,014 (about 0.8× the $4,000 Medicare rate). Madison Memorial Hospital charges insurers about $3,849, or about $5,432 in cash — above the fair price. Located in Rexburg, ID.
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 $3,014. 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.
2 of 6 major insurers have a published price at this hospital
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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $3,849 | 96% |
| Aetnamajor | $3,829 - $3,849 | 96% |
| Moda Health | $7,699 | 192% |
| Molina | $3,849 | 96% |
| SelectHealth | $3,888 | 97% |
| + 3 smaller / regional plans | $3,849 - $6,544 |
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.
Other Procedures at Madison Memorial Hospital
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.