CMS Price Transparency Data

Breast lump removal

Facility: Saint Joseph Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$4,052
about 1.0× the $4,000 Medicare rate · typically $1,877–$7,258
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,779
About the fair price
about $273 under the fair price · 0.9× Medicare
Medicare pays $4,000 Fair price $4,052 This hospital $3,779

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

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

Cheapest $482 Priciest $3,779

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

A fair price for a Breast lump removal is about $4,052 (about 1.0× the $4,000 Medicare rate). Saint Joseph Hospital charges insurers about $3,779 — about the fair price. Located in Lexington, KY.

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 $3,913 98%
Blue Cross Blue Shieldmajor $3,212 - $3,796 80%
Aetnamajor $3,875 97%
Humanamajor $2,658 - $3,762 66%
CareSource $7,524 188%
Molina $3,950 99%
WellCare $3,762 94%

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Facility Profile & Credentials

  • Address: One Saint Joseph Drive, Lexington, KY 40504
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals