CMS Price Transparency Data
Breast lump removal
Facility: Valor Health
Billing Code: 19120 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$889
about 0.2× the $4,000 Medicare rate · typically $433–$2,513
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $889 Cash price $1,224 Hospital's list price $1,288
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 | $369 - $695 | 9% |
| Blue Cross Blue Shieldmajor | $369 - $2,359 | 9% |
| Aetnamajor | $119 - $978 | 3% |
| Cignamajor | $645 - $720 | 16% |
| Humanamajor | $369 - $973 | 9% |
| Moda Health | $738 | 18% |
| Molina | $369 | 9% |
| PacificSource | $369 - $791 | 9% |
| SelectHealth | $369 - $722 | 9% |
Government programs also on file: Military & VA.
Self-Pay How to get the cash price
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Other Procedures at Valor Health
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.