CMS Price Transparency Data

Breast lump removal

Facility: Ochsner LSU Health Shreveport-St Mary Medical Cent

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$3,611

about 0.9× the $4,000 Medicare rate · typically $1,227–$3,735

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,530

About the fair price

about $81 under the fair price · 0.9× Medicare

Medicare pays $4,000 Fair price $3,611 This hospital $3,530 Cash price $4,950 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 $3,530

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 $3,611 (about 0.9× the $4,000 Medicare rate). Ochsner LSU Health Shreveport-St Mary Medical Cent charges insurers about $3,530, or about $4,950 in cash — about the fair price. Located in Shreveport, 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 - $5,992	14%
Blue Cross Blue Shieldmajor	$3,530 - $9,047	88%
Aetnamajor	$550 - $5,295	14%
Cignamajor	$1,701 - $2,552	43%
Humanamajor	$550 - $5,295	14%
Amerigroup	$550 - $825	14%
AmeriHealth	$550 - $825	14%
Health Net	$2,885 - $5,771	72%
+ 3 smaller / regional plans	$550 - $8,736

Government programs also on file: Medicare.

Excludes 4 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 4,950), 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 Shreveport-St Mary Medical Cent 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 Shreveport-St Mary Medical Cent

Compare: Breast lump removal at other LA hospitals

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