CMS Price Transparency Data

Breast lump removal

Facility: Singing River Health System

Billing Code: 19120 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 19120
Insurance Median: $3,667
Cash Discount Price: $2,775
vs. Medicare Baseline: 0.92x Medicare

The contracted insurance negotiated median rate for a Breast lump removal at Singing River Health System is $3,667. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,775. Compared to the federal Medicare reimbursement reference rate of $4,000.24, this hospital’s rate is 0.92x the Medicare baseline. Located in 2809 Denny Av, Pascagoula, MS.

Cash / Self-Pay

$2,775

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,667

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: $2,775 (69%)

Insurance Median: $3,667 (92%)

Cash: $2,775 (69% of Medicare)

Ins. Median: $3,667 (92% 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
Cigna	$1,225 - $3,632	31%
Aetna	$1,831 - $3,562	46%
UnitedHealthcare	$3,062 - $5,588	77%
Humana	$3,562	89%
Blue Cross Blue Shield	$3,597	90%
Shared Health	$3,667	92%
Wellcare	$3,667	92%
Singing River Health System Employees	$4,177	104%
Ambetter / Centene	$5,238	131%
Molina Healthcare Of Ms	$5,588	140%
First Choice	$6,111	153%
Mississippi Physicians Care Network	$6,286	157%
First Choice Preferred Pricing	$6,461	162%
90 Degree Benefits	$6,635	166%

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 $2,775.
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 Singing River Health System 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.