CMS Price Transparency Data

Breast lump removal

Facility: Baptist Memorial Hospital North Ms

Billing Code: 19120 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 19120
  • Insurance Median: $6,271
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.57x Medicare
The contracted insurance negotiated median rate for a Breast lump removal at Baptist Memorial Hospital North Ms is $6,271. 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 1.57x the Medicare baseline. Located in 1100 Belk Blvd, Oxford, MS.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,271

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: $6,271 (157%)
Ins. Median: $6,271 (157% 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 - $2,197 37%
Triwest $3,344 84%
Ms Breast And Cervical $3,484 87%
Vaccn $3,484 87%
Veterans Evaluation Services $3,484 87%
Devoted Health $3,553 89%
Molina $3,553 - $6,445 89%
Blue Cross Blue Shield $3,588 - $12,882 90%
Aetna $3,658 91%
American Health Plan $3,658 91%
Humana $3,658 91%
Shared Health $3,658 91%
Magnolia Ms $4,705 118%
Brimhall Foods $5,226 131%
First State Bank Trust $5,922 148%
Arlington Community Schools $6,271 157%
Armstrong Relocation $6,271 157%
Ashley Furniture Stores $6,271 157%
Bartlett City Schools $6,271 157%
Building Plastic $6,271 157%
Burch Food Services $6,271 157%
Cannon Motor Company $6,271 157%
Carlisle $6,271 157%
City Of Bartlett $6,271 157%
City Of Lakeland $6,271 157%
Collierville Schools $6,271 157%
Crittenden County $6,271 157%
Davidson Hospitality $6,271 157%
Delta Industries $6,271 157%
Desoto Co Board Of Supervisors $6,271 157%
Dunn Investment Company $6,271 157%
Eas Mssc Schools $6,271 157%
First Choice Health Plan Of Ms $6,271 157%
First Community Bank $6,271 157%
French Camp Academy $6,271 157%
Gossett Motor Cars $6,271 157%
Hattiesburg Clinic $6,271 157%
Heartland Catfish Company $6,271 157%
Heavy Machines $6,271 157%
Hollowell Industries $6,271 157%
Hospitality Management Advisors $6,271 157%
Jas D Collier $6,271 157%
Lakeland School System $6,271 157%
Malco Theaters $6,271 157%
Mechanical Systems $6,271 157%
Mid-South Transport $6,271 157%
Minact $6,271 157%
Patterson Warehouses $6,271 157%
Radians $6,271 157%
Rei Nation $6,271 157%
Retzer Resources $6,271 157%
Ritchey Automotive $6,271 157%
Security One $6,271 157%
Silver Tree $6,271 157%
State Systems $6,271 157%
Town Of Collierville $6,271 157%
United Tn Holdings $6,271 157%
Vaughn Electric $6,271 157%
W G Yates $6,271 157%
W W Wood Products $6,271 157%
Watkins Uiberall $6,271 157%
Y K Auto Group $6,271 157%
Employers Health Network $6,967 174%
Harding Academy $6,967 174%
Mpcn $6,967 174%
Primewell $9,754 244%
Advanced Health Systems Inc. $10,306 258%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 Belk Blvd, Oxford, MS 38655
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals