CMS Price Transparency Data
Breast lump removal
Facility: Citizens Memorial Hospital
Billing Code: 19120 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$2,992
about 0.7× the $4,000 Medicare rate · typically $1,643–$3,039
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $2,992 Cash price $1,889 Hospital's list price $2,361
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 | $4,180 | 104% |
| Blue Cross Blue Shieldmajor | $4,221 - $5,182 | 106% |
| Aetnamajor | $4,180 | 104% |
| Humanamajor | $4,180 | 104% |
| Ambetter (Centene) | $5,705 | 143% |
| Health Net | $4,180 | 104% |
| WellCare | $4,305 | 108% |
| + 3 smaller / regional plans | $4,180 - $4,389 |
Self-Pay How to get the cash price
Insurance Before you use insurance
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Other Procedures at Citizens 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.