CMS Price Transparency Data

Breast lump removal

Facility: Covenant Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$735
about 0.2× the $4,000 Medicare rate · typically $652–$1,654
modeled estimate · not a bill or quote
What this hospital charges insurers
$680
About the fair price
about $55 under the fair price · 0.2× Medicare
Medicare pays $4,000 Fair price $735 This hospital $680 Cash price $608 Hospital's list price $869

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

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

Cheapest $445 Priciest $680

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

A fair price for a Breast lump removal is about $735 (about 0.2× the $4,000 Medicare rate). Covenant Medical Center charges insurers about $680, or about $608 in cash — about the fair price. Located in Saginaw, MI.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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
Blue Cross Blue Shieldmajor $551 - $4,000 14%
Aetnamajor $528 - $4,000 13%
Humanamajor $536 - $4,000 13%
Meridian $551 - $2,092 14%
Molina $551 - $4,000 14%
Priority Health $328 - $4,000 8%
+ 7 smaller / regional plans $321 - $7,720
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1447 N Harrison, Saginaw, MI 48602
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals