CMS Price Transparency Data

Breast lump removal

Facility: St Gabriels Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$637
about 0.2× the $4,000 Medicare rate · typically $453–$1,479
modeled estimate · not a bill or quote
What this hospital charges insurers
$507
Below the fair price — a good deal
about $130 under the fair price · 0.1× Medicare
Medicare pays $4,000 Fair price $637 This hospital $507 Cash price $637 Hospital's list price $1,098

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

A typical price — 5 charge more and 3 charge less, among the 9 MN hospitals compared.

Cheapest $452 Priciest $838

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 $637 (about 0.2× the $4,000 Medicare rate). St Gabriels Hospital charges insurers about $507, or about $637 in cash — below the fair price — a good deal. Located in Little Falls, MN.

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✓ Humana AetnaCignaKaiser 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 $266 - $1,170 7%
Blue Cross Blue Shieldmajor $110 - $834 3%
Humanamajor $131 - $527 3%
HealthPartners $120 - $878 3%
Medica $126 - $3,267 3%
Sanford Health Plan $347 - $1,390 9%
UCare $138 - $1,287 3%
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 815 Southeast Second Street, Little Falls, MN 56345
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals