CMS Price Transparency Data

Breast lump removal

Facility: Riverside Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$4,333
about 1.1× the $4,000 Medicare rate · typically $2,969–$4,941
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,321
About the fair price
about $12 under the fair price · 1.1× Medicare
Medicare pays $4,000 Fair price $4,333 This hospital $4,321 Cash price $1,524 Hospital's list price $5,725

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 $4,321

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 $4,333 (about 1.1× the $4,000 Medicare rate). Riverside Medical Center charges insurers about $4,321, or about $1,524 in cash — about the fair price. Located in Kankakee, 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 $4,175 104%
Blue Cross Blue Shieldmajor $4,175 104%
Aetnamajor $4,301 108%
Molina $4,342 109%
WellCare $4,384 110%
+ 1 smaller / regional plan $5,428

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Facility Profile & Credentials

  • Address: 350 N Wall St, Kankakee, IL 60901
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals