CMS Price Transparency Data

Breast lump removal

Facility: Avoyelles Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$2,460
about 0.6× the $4,000 Medicare rate · typically $517–$3,362
modeled estimate · not a bill or quote
What this hospital charges insurers
$536
Below the fair price — a good deal
about $1,924 under the fair price · 0.1× Medicare
Medicare pays $4,000 Fair price $2,460 This hospital $536 Cash price $1,271 Hospital's list price $4,235

How we calculate the fair BaseRate →

How this hospital compares to other LA hospitals

One of the lower prices — 4 of 8 other LA hospitals charge more for the same procedure.

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 $2,460 (about 0.6× the $4,000 Medicare rate). Avoyelles Hospital charges insurers about $536, or about $1,271 in cash — below the fair price — a good deal. Located in Marksville, LA.

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✓ Cigna HumanaKaiser 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 $536 13%
Blue Cross Blue Shieldmajor $4,746 119%
Aetnamajor $527 - $1,850 13%
Cignamajor $536 13%
AmeriHealth $536 13%
+ 7 smaller / regional plans $527 - $4,746
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 4231 Highway 1192, Marksville, LA 71351
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals