CMS Price Transparency Data
Breast lump removal
Facility: Memorial Healthcare
Billing Code: 19120 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$2,471
about 0.6× the $4,000 Medicare rate · typically $1,317–$3,818
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $2,471 Cash price $1,662 Hospital's list price $2,078
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 | $3,800 | 95% |
| Blue Cross Blue Shieldmajor | $3,607 | 90% |
| Aetnamajor | $3,901 | 98% |
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Other Procedures at Memorial Healthcare
Compare: Breast lump removal at other MI hospitals
- University of Michigan Health System · Ann Arbor $445
- Henry Ford Macomb Hospital · Clinton Township $455
- McLaren Oakland · Pontiac $478
- McLaren Port Huron · Port Huron $478
- Henry Ford Health Hospital · Detroit $500
- Henry Ford Health West Bloomfield Hospital · W Bloomfield $500
- Wyandotte Hospital and Medical Center · Wyandotte $511
- McLaren Bay Region · Bay City $521
Insurance negotiated median for the same procedure, sorted lowest first.