CMS Price Transparency Data

Breast lump removal

Facility: Saint Joseph East

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$3,801
about 1.0× the $4,000 Medicare rate · typically $1,865–$6,647
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,866
About the fair price
about $65 over the fair price · 1.0× Medicare
Medicare pays $4,000 Fair price $3,801 This hospital $3,866

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 $3,866

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 $3,801 (about 1.0× the $4,000 Medicare rate). Saint Joseph East charges insurers about $3,866 — 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 $3,762 - $4,557 94%
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: 150 North Eagle Creek Drive, Lexington, KY 40509
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals