CMS Price Transparency Data

Breast lump removal

Facility: St Mary's Regional Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$5,007
about 1.3× the $4,000 Medicare rate · typically $1,918–$7,537
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,569
About the fair price
about $438 under the fair price · 1.1× Medicare
Medicare pays $4,000 Fair price $5,007 This hospital $4,569

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

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

Cheapest $575 Priciest $4,569

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

A fair price for a Breast lump removal is about $5,007 (about 1.3× the $4,000 Medicare rate). St Mary's Regional Medical Center charges insurers about $4,569 — about the fair price. Located in Lewiston, ME.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

1 of 6 major insurers have a published price at this hospital

✓ Cigna UnitedHealthcareBlue Cross Blue ShieldAetnaHumanaKaiser 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
Cignamajor $4,569 114%

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Facility Profile & Credentials

  • Address: 93 Campus Avenue - Po Box 291, Lewiston, ME 04243
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals