CMS Price Transparency Data

Breast lump removal

Facility: Range Regional Health Services

Billing Code: 19120 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 19120
Insurance Median: $1,661
Cash Discount Price: $883
vs. Medicare Baseline: 0.42x Medicare

The contracted insurance negotiated median rate for a Breast lump removal at Range Regional Health Services is $1,661. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $883. Compared to the federal Medicare reimbursement reference rate of $4,000.24, this hospital’s rate is 0.42x the Medicare baseline. Located in 750 East 34Th St, Hibbing, MN.

Cash / Self-Pay

$883

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,661

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$4,000.24

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $4,000.24 (100%)

Cash / Self-Pay: $883 (22%)

Insurance Median: $1,661 (42%)

Cash: $883 (22% of Medicare)

Ins. Median: $1,661 (42% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $4,000.24 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Security Health Plan	$66 - $3,698	2%
First Health	$74 - $1,934	2%
Multiplan	$76 - $2,004	2%
Private Healthcare Systems	$76 - $2,004	2%
Wisconsin Physician Services	$81 - $2,122	2%
America'S Ppo	$83 - $2,169	2%
Health Partners	$279 - $3,920	7%
Itasca Medical Care	$279 - $3,698	7%
Primewest	$279 - $3,698	7%
Medica	$297 - $3,920	7%
Blue Cross Blue Shield	$318 - $15,111	8%
Sanford Health Plan	$378 - $3,698	9%
UnitedHealthcare	$378 - $3,698	9%
Wellcare	$378 - $3,698	9%
Ucare	$397 - $7,255	10%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $883.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 19120.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Range Regional Health Services is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 19120.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.