CMS Price Transparency Data

Breast lump removal

Facility: Memorial Hospital and Health Care Center

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$938

about 0.2× the $4,000 Medicare rate · typically $618–$3,370

modeled estimate · not a bill or quote

What this hospital charges insurers

$625

Below the fair price — a good deal

about $313 under the fair price · 0.2× Medicare

Medicare pays $4,000 Fair price $938 This hospital $625 Cash price $663 Hospital's list price $1,895

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 $625

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 $938 (about 0.2× the $4,000 Medicare rate). Memorial Hospital and Health Care Center charges insurers about $625, or about $663 in cash — below the fair price — a good deal. Located in Jasper, IN.

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	$719 - $12,034	18%
Blue Cross Blue Shieldmajor	$346 - $4,011	9%
Aetnamajor	$375 - $4,011	9%
Cignamajor	$725	18%
Humanamajor	$375 - $4,011	9%
Ambetter (Centene)	$487 - $5,215	12%
CareSource	$375 - $5,014	9%
+ 11 smaller / regional plans	$376 - $9,628

Government programs also on file: Military & VA.

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 663), 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 Memorial Hospital and Health Care Center 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 Memorial Hospital and Health Care Center

Compare: Breast lump removal at other IN hospitals

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