CMS Price Transparency Data
Breast lump removal
Facility: St James Parish Hospital
Billing Code: 19120 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$1,065
about 0.3× the $4,000 Medicare rate · typically $498–$4,289
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $1,065 Cash price $905 Hospital's list price $1,809
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 | $3,112 | 78% |
| Blue Cross Blue Shieldmajor | $2,730 - $4,483 | 68% |
| Aetnamajor | $520 - $3,000 | 13% |
Self-Pay How to get the cash price
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Other Procedures at St James Parish Hospital
Compare: Breast lump removal at other LA hospitals
- Childrens Hospital · New Orleans $450
- Lallie Kemp Medical Center · Independence $520
- Avoyelles Hospital · Marksville $536
- Ochsner St Martin Hospital · Breaux Bridge $536
- Abrom Kaplan Memorial Hospital · Kaplan $536
- Ochsner Lafayette General Medical Center · Lafayette $550
- Iberia Medical Center · New Iberia $550
- Franklin Medical Center · Winnsboro $556
Insurance negotiated median for the same procedure, sorted lowest first.