Breast lump removal
Facility: Merit Health Madison
Billing Code: 19120 (CPT)
Highest price of the 9 MS hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 MS hospitals with a price for this procedure. Full list below.
A fair price for a Breast lump removal is about $4,822 (about 1.2× the $4,000 Medicare rate). Merit Health Madison charges insurers about $5,383, or about $3,632 in cash — about the fair price. Located in Canton, MS.
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
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 | $2,016 - $2,070 | 50% |
| Blue Cross Blue Shieldmajor | $5,383 | 135% |
| Cignamajor | $8,159 | 204% |
| Humanamajor | $3,676 | 92% |
| Ambetter (Centene) | $9,079 | 227% |
| Devoted Health | $3,712 | 93% |
| Molina | $3,006 - $7,600 | 75% |
| WellCare | $3,641 | 91% |
| + 6 smaller / regional plans | $3,035 - $7,070 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Merit Health Madison
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.