CMS Price Transparency Data

Breast lump removal

Facility: Essentia Health St Joseph's Medical Center

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$3,596
about 0.9× the $4,000 Medicare rate · typically $2,445–$4,120
modeled estimate · not a bill or quote
What this hospital charges insurers
$4,113
About the fair price
about $517 over the fair price · 1.0× Medicare
Medicare pays $4,000 Fair price $3,596 This hospital $4,113

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 $4,113

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 $3,596 (about 0.9× the $4,000 Medicare rate). Essentia Health St Joseph's Medical Center charges insurers about $4,113 — about the fair price. Located in Brainerd, 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 $4,113 103%
Blue Cross Blue Shieldmajor $4,113 - $14,092 103%
HealthPartners $4,113 103%
Medica $4,113 103%
Security Health Plan $4,113 103%
UCare $4,113 103%
+ 11 smaller / regional plans $3,675 - $13,029
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: 523 North 3Rd Street, Brainerd, MN 56401
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals