CMS Price Transparency Data

Breast lump removal

Facility: Morris Hospital & Healthcare Centers

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$5,065

about 1.3× the $4,000 Medicare rate · typically $3,004–$6,880

modeled estimate · not a bill or quote

What this hospital charges insurers

$518

Below the fair price — a good deal

about $4,547 under the fair price · 0.1× Medicare

Medicare pays $4,000 Fair price $5,065 This hospital $518 Cash price $470 Hospital's list price $1,955

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

A typical price — 5 charge more and 3 charge less, among the 9 IL hospitals compared.

Cheapest $444 Priciest $656

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

A fair price for a Breast lump removal is about $5,065 (about 1.3× the $4,000 Medicare rate). Morris Hospital & Healthcare Centers charges insurers about $518, or about $470 in cash — below the fair price — a good deal. Located in Morris, IL.

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✓ Cigna HumanaKaiser 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	$383 - $506	10%
Blue Cross Blue Shieldmajor	$723	18%
Aetnamajor	$472 - $516	12%
Cignamajor	$457 - $571	11%
Ambetter (Centene)	$758	19%
+ 4 smaller / regional plans	$498 - $880

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 470), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 19120.

Insurance Before you use insurance

Call your insurance company to confirm Morris Hospital & Healthcare Centers is in-network.
Ask your insurer whether prior approval is required for CPT code 19120.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Morris Hospital & Healthcare Centers

Compare: Breast lump removal at other IL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.