CMS Price Transparency Data

Breast lump removal

Facility: Grove Creek Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$2,795
about 0.7× the $4,000 Medicare rate · typically $2,203–$3,375
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,889
About the fair price
about $94 over the fair price · 0.7× Medicare
Medicare pays $4,000 Fair price $2,795 This hospital $2,889 Cash price $3,754 Hospital's list price $5,363

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

On the higher side — 6 of 8 other ID hospitals charge less.

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 $2,795 (about 0.7× the $4,000 Medicare rate). Grove Creek Medical Center charges insurers about $2,889, or about $3,754 in cash — about the fair price. Located in Blackfoot, ID.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

1 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $222 - $22,935 6%
PacificSource $3,868 97%
SelectHealth $77 - $7,967 2%
+ 1 smaller / regional plan $1,847

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Facility Profile & Credentials

  • Address: 350 North Meridian Street, Blackfoot, ID 83221
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals