CMS Price Transparency Data

Breast lump removal

Facility: McLaren Northern Michigan

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$689
about 0.2× the $4,000 Medicare rate · typically $495–$1,763
modeled estimate · not a bill or quote
What this hospital charges insurers
$521
Below the fair price — a good deal
about $168 under the fair price · 0.1× Medicare
Medicare pays $4,000 Fair price $689 This hospital $521 Cash price $628 Hospital's list price $1,256

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 $521

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 $689 (about 0.2× the $4,000 Medicare rate). McLaren Northern Michigan charges insurers about $521, or about $628 in cash — below the fair price — a good deal. Located in Petoskey, MI.

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✓ Humana CignaKaiser 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 $521 13%
Blue Cross Blue Shieldmajor $680 - $3,187 17%
Aetnamajor $496 12%
Humanamajor $400 - $3,735 10%
Priority Health $549 14%
+ 4 smaller / regional plans $414 - $3,735
Government programs also on file: Medicare, Medicaid, Military & VA.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 416 Connable Ave, Petoskey, MI 49770
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals