CMS Price Transparency Data

Breast lump removal

Facility: Ochsner LSU Health Monroe

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$3,046

about 0.8× the $4,000 Medicare rate · typically $1,640–$3,257

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,646

Below the fair price — a good deal

about $400 under the fair price · 0.7× Medicare

Medicare pays $4,000 Fair price $3,046 This hospital $2,646 Cash price $4,066 Hospital's list price $17,680

How we calculate the fair BaseRate →

How this hospital compares to other LA hospitals

Highest price of the 9 LA hospitals we have prices for — worth calling around.

Cheapest $450 Priciest $2,646

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 $3,046 (about 0.8× the $4,000 Medicare rate). Ochsner LSU Health Monroe charges insurers about $2,646, or about $4,066 in cash — below the fair price — a good deal. Located in Monroe, 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	$550 - $5,221	14%
Blue Cross Blue Shieldmajor	$3,481 - $8,198	87%
Aetnamajor	$550 - $5,221	14%
Cignamajor	$1,328 - $1,992	33%
Humanamajor	$550 - $5,221	14%
Amerigroup	$550 - $825	14%
AmeriHealth	$550 - $825	14%
Health Net	$3,713 - $7,426	93%
+ 3 smaller / regional plans	$550 - $8,614

Government programs also on file: Medicare.

Excludes 5 rental-network / third-party entries (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 4,066), 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 LSU Health Monroe 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 LSU Health Monroe

Compare: Breast lump removal at other LA hospitals

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