CMS Price Transparency Data
Breast lump removal
Facility: Winston Medical Center
Billing Code: 19120 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$3,768
about 0.9× the $4,000 Medicare rate · typically $2,204–$6,187
modeled estimate · not a bill or quote
Medicare pays $4,000 Fair price $3,768 Cash price $1,173 Hospital's list price $1,500
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✓ Cigna✓ Humana AetnaKaiser 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 | $476 - $1,275 | 12% |
| Blue Cross Blue Shieldmajor | $1,875 - $2,550 | 47% |
| Cignamajor | $1,275 - $3,615 | 32% |
| Humanamajor | $3,615 | 90% |
| Molina | $1,500 | 37% |
| + 1 smaller / regional plan | $1,500 |
Government programs also on file: Military & VA.
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Other Procedures at Winston Medical Center
Compare: Breast lump removal at other MS hospitals
- Monroe Regional Hospital · Aberdeen $449
- Ochsner Rush Hospital · Meridian $593
- Ochsner Watkins Hospital · Quitman $593
- Ochsner Laird Hospital · Union $593
- Ochsner Scott Regional · Morton $593
- Ochsner Stennis Memorial Hospital · De Kalb $593
- S E Lackey Memorial Hospital · Forest $796
- Baptist Memorial Hospital-Oktibbeha County · Starkville $876
Insurance negotiated median for the same procedure, sorted lowest first.