CMS Price Transparency Data
Breast lump removal
Facility: Whitesburg Arh Hospital
Billing Code: 19120 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$2,147
about 0.5× the $4,000 Medicare rate · typically $512–$3,893
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $2,147 Cash price $670 Hospital's list price $1,116
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Aetna Blue Cross Blue ShieldCignaHumanaKaiser 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 | $387 | 10% |
| Aetnamajor | $375 - $387 | 9% |
| WellCare | $264 - $387 | 7% |
| + 1 smaller / regional plan | $387 |
Self-Pay How to get the cash price
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Other Procedures at Whitesburg Arh Hospital
Compare: Breast lump removal at other KY hospitals
- St Claire Regional Medical Center · Morehead $482
- Baptist Health Deaconess Madisonville · Madisonville $486
- Trigg County Hospital · Cadiz $497
- T J Samson Community Hospital · Glasgow $501
- Deaconess Henderson Hospital · Henderson $722
- Jackson Purchase Medical Center · Mayfield $1,845
- Clark Regional Medical Center · Winchester $2,848
- Norton Hospitals, Inc · Louisville $3,015
Insurance negotiated median for the same procedure, sorted lowest first.