CMS Price Transparency Data
Breast lump removal
Facility: Boone Hospital Center
Billing Code: 19120 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$3,955
about 1.0× the $4,000 Medicare rate · typically $2,857–$4,323
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $3,955 Cash price $830 Hospital's list price $1,384
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 | $3,922 - $6,897 | 98% |
| Blue Cross Blue Shieldmajor | $4,000 | 100% |
| Aetnamajor | $4,047 | 101% |
| Humanamajor | $3,988 | 100% |
| Ambetter (Centene) | $4,118 - $5,883 | 103% |
| HealthLink | $934 | 23% |
| + 4 smaller / regional plans | $4,039 - $7,255 |
Self-Pay How to get the cash price
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Other Procedures at Boone Hospital Center
Compare: Breast lump removal at other MO hospitals
- Harrison County Community Hospital · Bethany $445
- Ste Genevieve County Memorial Hospital · Sainte Genevieve $452
- Fitzgibbon Hospital · Marshall $468
- Mercy Hospital Jefferson · Crystal City $470
- Mercy Hospital Washington · Washington $476
- Mercy Hospital Southeast · Cape Girardeau $503
- Mercy Hospital Perry · Perryville $524
- Mercy St Francis Hospital · Mountain View $537
Insurance negotiated median for the same procedure, sorted lowest first.