CMS Price Transparency Data

Breast lump removal

Facility: Ochsner Lafayette General Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$2,413

about 0.6× the $4,000 Medicare rate · typically $676–$3,042

modeled estimate · not a bill or quote

What this hospital charges insurers

$550

Below the fair price — a good deal

about $1,863 under the fair price · 0.1× Medicare

Medicare pays $4,000 Fair price $2,413 This hospital $550 Cash price $848 Hospital's list price $3,748

How we calculate the fair BaseRate →

How this hospital compares to other LA hospitals

A typical price — 2 charge more and 5 charge less, among the 9 LA hospitals compared.

Cheapest $450 Priciest $562

Black dot = this hospital, among the 9 LA hospitals with a price for this procedure. Full list below.

A fair price for a Breast lump removal is about $2,413 (about 0.6× the $4,000 Medicare rate). Ochsner Lafayette General Medical Center charges insurers about $550, or about $848 in cash — below the fair price — a good deal. Located in Lafayette, LA.

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	$281 - $4,698	7%
Blue Cross Blue Shieldmajor	$391 - $6,851	10%
Aetnamajor	$281 - $3,843	7%
Cignamajor	$795 - $3,484	20%
Humanamajor	$281 - $3,484	7%
AmeriHealth	$281 - $550	7%
WellCare	$391 - $3,658	10%
+ 6 smaller / regional plans	$281 - $3,585

Government programs also on file: Medicare, Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 848), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 19120.

Insurance Before you use insurance

Call your insurance company to confirm Ochsner Lafayette General Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 19120.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Ochsner Lafayette General Medical Center

Compare: Breast lump removal at other LA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.