CMS Price Transparency Data

Breast lump removal

Facility: Elkhart General Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,128
about 0.8× the $4,000 Medicare rate · typically $2,120–$6,276
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,081
About the fair price
about $47 under the fair price · 0.8× Medicare
Medicare pays $4,000 Fair price $3,128 This hospital $3,081

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

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

Cheapest $450 Priciest $3,081

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

A fair price for a Breast lump removal is about $3,128 (about 0.8× the $4,000 Medicare rate). Elkhart General Hospital charges insurers about $3,081 — about the fair price. Located in Elkhart, IN.

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✓ Humana CignaKaiser 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 $1,905 - $4,011 48%
Blue Cross Blue Shieldmajor $1,905 - $11,966 48%
Aetnamajor $4,011 100%
Humanamajor $1,905 - $4,011 48%
CareSource $1,905 - $6,418 48%
Devoted Health $4,212 105%
+ 4 smaller / regional plans $1,905 - $6,017

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Facility Profile & Credentials

  • Address: 600 E Blvd, Elkhart, IN 46514
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals