CMS Price Transparency Data

Breast lump removal

Facility: University of Mississippi Med Center

Billing Code: 19120 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 19120
Insurance Median: $6,566
Cash Discount Price: $3,632
vs. Medicare Baseline: 1.64x Medicare

The contracted insurance negotiated median rate for a Breast lump removal at University of Mississippi Med Center is $6,566. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,632. Compared to the federal Medicare reimbursement reference rate of $4,000.24, this hospital’s rate is 1.64x the Medicare baseline. Located in 2500 N State St, Jackson, MS.

Cash / Self-Pay

$3,632

Average discount available for prompt cash payment at this facility.

Insurance Median

$6,566

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$4,000.24

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $4,000.24 (100%)

Cash / Self-Pay: $3,632 (91%)

Insurance Median: $6,566 (164%)

Cash: $3,632 (91% of Medicare)

Ins. Median: $6,566 (164% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $4,000.24 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Ms-Can-Molina	$3,006	75%
Ms-Can-Magnolia	$3,035	76%
Ms-Can-Truecare	$3,064	77%
Medicare (plans)	$3,535	88%
Tricare	$3,535	88%
Va_Ccn	$3,535	88%
Medadv_Primewell	$3,641	91%
Medadv_Uhc	$3,641	91%
Medadv_Uhcdsnp	$3,641	91%
Wellcare	$3,641	91%
Humana	$3,676	92%
Advhealth	$4,703	118%
Cigna	$5,266	132%
Blue Cross Blue Shield	$5,383	135%
Molina-Chip	$6,420	160%
Magnolia-Chip	$6,566	164%
Truecare-Chip	$6,566	164%
United	$6,773	169%
United-Options	$6,818	170%
Ppoplus	$7,082	177%
Firsthealth	$7,263	182%
Multiplan	$7,263	182%
Molina_Exchange	$7,600	190%
Aetna	$7,717	193%
Healthlink_Tupelo	$7,717	193%
Phcs	$8,171	204%
Mpcn	$8,353	209%
Firstchoice	$8,838	221%
Firstchoice-Hum	$8,838	221%
Ambetter / Centene	$8,908	223%
Primewell	$9,079	227%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $3,632.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 19120.

Insurance In-Network Protection Plan

Contact your insurance company to confirm University of Mississippi Med Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 19120.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.