CMS Price Transparency Data

Breast lump removal

Facility: Idaho Falls Community Hospital, LLC

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$3,396
about 0.8× the $4,000 Medicare rate · typically $1,434–$4,583
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,868
About the fair price
about $472 over the fair price · 1.0× Medicare
Medicare pays $4,000 Fair price $3,396 This hospital $3,868 Cash price $5,088 Hospital's list price $5,088

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 $3,868

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 $3,396 (about 0.8× the $4,000 Medicare rate). Idaho Falls Community Hospital, LLC charges insurers about $3,868, or about $5,088 in cash — 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $3,868 97%
Blue Cross Blue Shieldmajor $2,522 - $3,868 63%
Aetnamajor $3,868 97%
Humanamajor $3,868 97%
Moda Health $8,704 218%
Molina $3,868 97%
PacificSource $3,868 97%
SelectHealth $3,868 97%
+ 3 smaller / regional plans $3,868 - $10,638

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Facility Profile & Credentials

  • Address: 2327 Coronado St, Idaho Falls, ID 83404
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals