CMS Price Transparency Data
Breast lump removal
Facility: Macneal Hospital
Billing Code: 19120 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$4,447
about 1.1× the $4,000 Medicare rate · typically $2,768–$4,736
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $4,447 Hospital's list price $3,771
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 | $1,697 - $1,886 | 42% |
| Blue Cross Blue Shieldmajor | $687 - $5,223 | 17% |
| Aetnamajor | $1,305 - $3,992 | 33% |
| Cignamajor | $1,237 - $4,111 | 31% |
| Humanamajor | $2,142 - $4,511 | 54% |
| Ambetter (Centene) | $4,790 | 120% |
| Meridian | $1,305 - $4,590 | 33% |
| Molina | $1,305 - $4,990 | 33% |
| Oscar Health | $4,391 | 110% |
| WellCare | $4,191 | 105% |
Government programs also on file: Military & VA.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Macneal Hospital
Compare: Breast lump removal at other IL hospitals
- Washington County Hospital · Nashville $444
- Ferrell Hospital Community Foundations · Eldorado $474
- Sarah D Culbertson Memorial Hospital · Rushville $505
- Morris Hospital & Healthcare Centers · Morris $518
- Hammond Henry Hospital · Geneseo $565
- Hamilton Memorial Hospital · McLeansboro $572
- University of Illinois Hospital and Clinics · Chicago $612
- Mc Donough District Hospital · Macomb $623
Insurance negotiated median for the same procedure, sorted lowest first.