CMS Price Transparency Data

Breast lump removal

Facility: St Joseph Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$4,271
about 1.1× the $4,000 Medicare rate · typically $3,155–$4,284
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,280
About the fair price
about $9 over the fair price · 1.1× Medicare
Medicare pays $4,000 Fair price $4,271 This hospital $4,280 Cash price $2,954 Hospital's list price $4,924

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

Highest price of the 9 IL hospitals we have prices for — worth calling around.

Cheapest $444 Priciest $4,280

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 $4,271 (about 1.1× the $4,000 Medicare rate). St Joseph Medical Center charges insurers about $4,280, or about $2,954 in cash — about the fair price. Located in Bloomington, IL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $5,543 139%
Blue Cross Blue Shieldmajor $4,280 107%
Aetnamajor $4,238 106%
+ 2 smaller / regional plans $4,196 - $4,944

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Facility Profile & Credentials

  • Address: 2200 E Washington, Bloomington, IL 61701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals