CMS Price Transparency Data

Breast lump removal

Facility: Clark Regional Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$4,038
about 1.0× the $4,000 Medicare rate · typically $1,761–$10,984
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,848
Below the fair price — a good deal
about $1,190 under the fair price · 0.7× Medicare
Medicare pays $4,000 Fair price $4,038 This hospital $2,848 Cash price $7,492 Hospital's list price $18,730

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

On the higher side — 6 of 8 other KY hospitals charge less.

Cheapest $482 Priciest $3,538

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 $4,038 (about 1.0× the $4,000 Medicare rate). Clark Regional Medical Center charges insurers about $2,848, or about $7,492 in cash — below the fair price — a good deal. Located in Winchester, KY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

1 of 6 major insurers have a published price at this hospital

✓ Humana UnitedHealthcareBlue Cross Blue ShieldAetnaCignaKaiser 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
Humanamajor $2,107 - $3,589 53%

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Facility Profile & Credentials

  • Address: 175 Hospital Drive, Winchester, KY 40391
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals