CMS Price Transparency Data

Breast lump removal

Facility: Mercy St Francis Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$536
about 0.1× the $4,000 Medicare rate · typically $536–$2,786
modeled estimate · not a bill or quote
What this hospital charges insurers
$537
About the fair price
about $1 over the fair price · 0.1× Medicare
Medicare pays $4,000 Fair price $536 This hospital $537 Cash price $1,089 Hospital's list price $1,675

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 $537

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 $536 (about 0.1× the $4,000 Medicare rate). Mercy St Francis Hospital charges insurers about $537, or about $1,089 in cash — about the fair price. Located in Mountain View, 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 - $1,508 10%
Blue Cross Blue Shieldmajor $403 - $1,508 10%
Aetnamajor $406 - $641 10%
Cignamajor $461 - $607 12%
Humanamajor $461 - $1,508 12%
Ambetter (Centene) $574 14%
HealthLink $564 - $1,591 14%
+ 36 smaller / regional plans $406 - $1,591
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.

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Facility Profile & Credentials

  • Address: 100 West Highway 60, Po Box 82, Mountain View, MO 65548
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals