CMS Price Transparency Data

Breast lump removal

Facility: Essentia Health St Mary's Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,550
about 0.9× the $4,000 Medicare rate · typically $1,510–$4,040
modeled estimate · not a bill or quote
What this hospital charges insurers
$3,841
About the fair price
about $291 over the fair price · 1.0× Medicare
Medicare pays $4,000 Fair price $3,550 This hospital $3,841

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

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

Cheapest $452 Priciest $3,841

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

A fair price for a Breast lump removal is about $3,550 (about 0.9× the $4,000 Medicare rate). Essentia Health St Mary's Medical Center charges insurers about $3,841 — about the fair price. Located in Duluth, MN.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $3,841 96%
Blue Cross Blue Shieldmajor $3,841 - $8,793 96%
HealthPartners $3,841 96%
Medica $3,841 96%
Sanford Health Plan $6,781 170%
Security Health Plan $3,841 96%
UCare $3,841 96%
+ 11 smaller / regional plans $3,675 - $3,841
Government programs also on file: Medicare.
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: 402 East Second Street, Duluth, MN 55805
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals