CMS Price Transparency Data
Breast lump removal
Facility: Caribou Medical Center
Billing Code: 19120 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$483
about 0.1× the $4,000 Medicare rate · typically $381–$1,719
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $483 Cash price $1,203 Hospital's list price $1,718
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✓ Cigna✓ Humana Kaiser 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 | $1,611 | 40% |
| Blue Cross Blue Shieldmajor | $252 - $1,756 | 6% |
| Aetnamajor | $158 - $1,756 | 4% |
| Cignamajor | $627 | 16% |
| Humanamajor | $252 - $369 | 6% |
| SelectHealth | $252 - $1,756 | 6% |
| + 6 smaller / regional plans | $252 - $1,756 |
Self-Pay How to get the cash price
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Other Procedures at Caribou Medical Center
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.