CMS Price Transparency Data

Breast lump removal

Facility: Trigg County Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$584
about 0.1× the $4,000 Medicare rate · typically $422–$2,072
modeled estimate · not a bill or quote
What this hospital charges insurers
$497
Below the fair price — a good deal
about $87 under the fair price · 0.1× Medicare
Medicare pays $4,000 Fair price $584 This hospital $497 Cash price $298 Hospital's list price $744

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

One of the lower prices — 6 of 8 other KY hospitals charge more for the same procedure.

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 $584 (about 0.1× the $4,000 Medicare rate). Trigg County Hospital charges insurers about $497, or about $298 in cash — below the fair price — a good deal. Located in Cadiz, 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 $203 - $2,373 5%
Blue Cross Blue Shieldmajor $199 - $3,392 5%
Aetnamajor $217 - $4,826 5%
Humanamajor $434 - $1,444 11%
Ambetter (Centene) $373 - $2,549 9%
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 254 Main Street, Cadiz, KY 42211
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals