CMS Price Transparency Data

Breast lump removal

Facility: Baptist Memorial Hospital Union County

Billing Code: 19120 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 19120
  • Insurance Median: $6,140
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.53x Medicare
The contracted insurance negotiated median rate for a Breast lump removal at Baptist Memorial Hospital Union County is $6,140. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $4,000.24, this hospital’s rate is 1.53x the Medicare baseline. Located in 200 Hwy 30 West, New Albany, MS.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,140

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%)
Insurance Median: $6,140 (153%)
Ins. Median: $6,140 (153% 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.

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
UnitedHealthcare $1,489 - $2,196 37%
Triwest $3,274 82%
Ms Breast And Cervical $3,411 85%
Vaccn $3,411 85%
Veterans Evaluation Services $3,411 85%
Devoted Health $3,479 87%
Molina $3,479 - $6,310 87%
Blue Cross Blue Shield $3,513 - $13,870 88%
Aetna $3,581 90%
American Health Plan $3,581 90%
Humana $3,581 90%
Shared Health $3,581 90%
Magnolia Ms $4,885 122%
First State Bank Trust $5,799 145%
Arlington Community Schools $6,140 153%
Armstrong Relocation $6,140 153%
Ashley Furniture Stores $6,140 153%
Bartlett City Schools $6,140 153%
Brimhall Foods $6,140 153%
Building Plastic $6,140 153%
Burch Food Services $6,140 153%
Cannon Motor Company $6,140 153%
Carlisle $6,140 153%
City Of Bartlett $6,140 153%
City Of Lakeland $6,140 153%
Collierville Schools $6,140 153%
Crittenden County $6,140 153%
Davidson Hospitality $6,140 153%
Delta Industries $6,140 153%
Desoto Co Board Of Supervisors $6,140 153%
Dunn Investment Company $6,140 153%
Eas Mssc Schools $6,140 153%
First Choice Health Plan Of Ms $6,140 153%
First Community Bank $6,140 153%
French Camp Academy $6,140 153%
Gossett Motor Cars $6,140 153%
Hattiesburg Clinic $6,140 153%
Heartland Catfish Company $6,140 153%
Heavy Machines $6,140 153%
Hollowell Industries $6,140 153%
Hospitality Management Advisors $6,140 153%
Jas D Collier $6,140 153%
Lakeland School System $6,140 153%
Malco Theaters $6,140 153%
Mechanical Systems $6,140 153%
Mid-South Transport $6,140 153%
Minact $6,140 153%
Patterson Warehouses $6,140 153%
Radians $6,140 153%
Rei Nation $6,140 153%
Retzer Resources $6,140 153%
Ritchey Automotive $6,140 153%
Security One $6,140 153%
Silver Tree $6,140 153%
State Systems $6,140 153%
Town Of Collierville $6,140 153%
United Tn Holdings $6,140 153%
Vaughn Electric $6,140 153%
W G Yates $6,140 153%
W W Wood Products $6,140 153%
Watkins Uiberall $6,140 153%
Y K Auto Group $6,140 153%
Employers Health Network $6,822 171%
Harding Academy $6,822 171%
Mpcn $6,822 171%
Primewell $9,550 239%
Advanced Health Systems Inc. $10,306 258%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 Hwy 30 West, New Albany, MS 38652
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals