CMS Price Transparency Data
Breast lump removal
Facility: Golden Valley Memorial Hospital
Billing Code: 19120 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$2,560
about 0.6× the $4,000 Medicare rate · typically $767–$3,866
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $2,560 Cash price $1,894 Hospital's list price $3,157
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✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser 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 | $3,845 - $6,537 | 96% |
| Aetnamajor | $3,845 | 96% |
| Humanamajor | $3,845 | 96% |
| Ambetter (Centene) | $4,615 | 115% |
| + 1 smaller / regional plan | $5,119 |
Self-Pay How to get the cash price
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Other Procedures at Golden Valley Memorial Hospital
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.