CMS Price Transparency Data

Breast lump removal

Facility: Saint Joseph Mount Sterling

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$3,419
about 0.9× the $4,000 Medicare rate · typically $1,190–$3,689
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,600
About the fair price
about $181 over the fair price · 0.9× Medicare
Medicare pays $4,000 Fair price $3,419 This hospital $3,600

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 $3,600

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 $3,419 (about 0.9× the $4,000 Medicare rate). Saint Joseph Mount Sterling charges insurers about $3,600 — about the fair price. Located in Mount Sterling, 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 $3,672 92%
Blue Cross Blue Shieldmajor $2,613 - $3,600 65%
Aetnamajor $3,708 93%
Humanamajor $3,600 90%
CareSource $7,201 180%
Molina $3,780 94%
WellCare $3,600 90%

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Facility Profile & Credentials

  • Address: 225 Falcon Drive, Mount Sterling, KY 40353
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals