CMS Price Transparency Data

Breast lump removal

Facility: Kootenai Health

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$835
about 0.2× the $4,000 Medicare rate · typically $544–$2,577
modeled estimate · not a bill or quote
What this hospital charges insurers
$545
Below the fair price — a good deal
about $290 under the fair price · 0.1× Medicare
Medicare pays $4,000 Fair price $835 This hospital $545

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

One of the lower prices — 6 of 8 other ID hospitals charge more for the same procedure.

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 $835 (about 0.2× the $4,000 Medicare rate). Kootenai Health charges insurers about $545 — below the fair price — a good deal. Located in Coeur D'Alene, ID.

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✓ Humana✓ Kaiser Permanente Cigna

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 $369 - $4,047 9%
Blue Cross Blue Shieldmajor $369 - $4,087 9%
Aetnamajor $387 - $4,249 10%
Humanamajor $369 - $4,047 9%
Kaiser Permanentemajor $545 - $14,568 14%
Molina $242 - $4,168 6%
PacificSource $373 - $4,087 9%
+ 2 smaller / regional plans $242 - $415

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 2003 Kootenai Health Way, Coeur D'Alene, ID 83814
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals