CMS Price Transparency Data
Breast lump removal
Facility: Hays Medical Center
Billing Code: 19120 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$3,061
about 0.8× the $4,000 Medicare rate · typically $1,635–$4,145
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $3,061 Cash price $1,001 Hospital's list price $2,419
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 | $4,182 - $7,319 | 105% |
| Blue Cross Blue Shieldmajor | $4,182 | 105% |
| Aetnamajor | $4,182 - $9,201 | 105% |
| Ambetter (Centene) | $4,182 - $6,274 | 105% |
| Medica | $4,182 | 105% |
| + 6 smaller / regional plans | $2,459 - $7,319 |
Government programs also on file: Medicaid.
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Other Procedures at Hays Medical Center
Compare: Breast lump removal at other KS hospitals
- Amberwell Atchison Association · Atchison $448
- Cloud County Health Center · Concordia $497
- Hospital District #6 Patterson Health Center · Anthony $498
- Hiawatha Community Hospital · Hiawatha $552
- Minneola District Hospital · Minneola $561
- Labette Health · Parsons $579
- Great Plains of Sabetha · Sabetha $600
- Ascension Via Christi Hospital Manhattan, Inc · Manhattan $627
Insurance negotiated median for the same procedure, sorted lowest first.