CMS Price Transparency Data

Breast lump removal

Facility: M Health Fairview St John's Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,716
about 0.4× the $4,000 Medicare rate · typically $1,211–$2,129
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,559
About the fair price
about $157 under the fair price · 0.4× Medicare
Medicare pays $4,000 Fair price $1,716 This hospital $1,559

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 $1,559

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 $1,716 (about 0.4× the $4,000 Medicare rate). M Health Fairview St John's Hospital charges insurers about $1,559 — about the fair price. Located in Maplewood, 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 $378 - $4,746 9%
Blue Cross Blue Shieldmajor $318 - $3,874 8%
HealthPartners $279 - $8,618 7%
Medica $297 - $3,949 7%
Sanford Health Plan $378 - $3,725 9%
Security Health Plan $378 - $3,725 9%
UCare $284 - $8,560 7%
WellCare $378 - $3,725 9%
+ 4 smaller / regional plans $279 - $3,857

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Facility Profile & Credentials

  • Address: 1575 Beam Avenue, Maplewood, MN 55109
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals