CMS Price Transparency Data
Breast lump removal
Facility: Caldwell Medical Center
Billing Code: 19120 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$791
about 0.2× the $4,000 Medicare rate · typically $379–$2,735
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $791 Cash price $919 Hospital's list price $1,226
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 | $405 - $566 | 10% |
| Blue Cross Blue Shieldmajor | $441 - $807 | 11% |
| Aetnamajor | $396 - $441 | 10% |
| Cignamajor | $1,042 | 26% |
| Humanamajor | $400 - $441 | 10% |
| Molina | $441 | 11% |
| WellCare | $607 | 15% |
Government programs also on file: Medicare, Medicaid.
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Enter your details and press estimate to compare.
Other Procedures at Caldwell Medical Center
Compare: Breast lump removal at other KY hospitals
- St Claire Regional Medical Center · Morehead $482
- Baptist Health Deaconess Madisonville · Madisonville $486
- Trigg County Hospital · Cadiz $497
- T J Samson Community Hospital · Glasgow $501
- Deaconess Henderson Hospital · Henderson $722
- Jackson Purchase Medical Center · Mayfield $1,845
- Clark Regional Medical Center · Winchester $2,848
- Norton Hospitals, Inc · Louisville $3,015
Insurance negotiated median for the same procedure, sorted lowest first.