CMS Price Transparency Data

Breast lump removal

Facility: Mercy Hospital - Cassville

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$530

about 0.1× the $4,000 Medicare rate · typically $356–$1,921

modeled estimate · not a bill or quote

What this hospital charges insurers

$552

About the fair price

about $22 over the fair price · 0.1× Medicare

Medicare pays $4,000 Fair price $530 This hospital $552 Cash price $1,111 Hospital's list price $1,710

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

Highest price of the 9 MO hospitals we have prices for — worth calling around.

Cheapest $445 Priciest $552

Black dot = this hospital, among the 9 MO hospitals with a price for this procedure. Full list below.

A fair price for a Breast lump removal is about $530 (about 0.1× the $4,000 Medicare rate). Mercy Hospital - Cassville charges insurers about $552, or about $1,111 in cash — about the fair price. Located in Cassville, MO.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$385 - $1,482	10%
Blue Cross Blue Shieldmajor	$406 - $3,073	10%
Aetnamajor	$611 - $3,410	15%
Cignamajor	$607 - $719	15%
Humanamajor	$611 - $3,410	15%
Ambetter (Centene)	$574	14%
HealthLink	$564 - $1,570	14%
+ 37 smaller / regional plans	$385 - $1,570

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,111), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 19120.

Insurance Before you use insurance

Call your insurance company to confirm Mercy Hospital - Cassville is in-network.
Ask your insurer whether prior approval is required for CPT code 19120.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Mercy Hospital - Cassville

Compare: Breast lump removal at other MO hospitals

Insurance negotiated median for the same procedure, sorted lowest first.