CMS Price Transparency Data
Breast lump removal
Facility: Bmh-Golden Triangle
Billing Code: 19120 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 19120
- Insurance Median: $6,305
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Breast lump removal at Bmh-Golden Triangle is $6,305. 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 1.58x the Medicare baseline. Located in 2520 5Th Street N, Columbus, MS.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$6,305
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: $6,305 (158%)
Ins. Median: $6,305 (158% 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
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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 - $2,199 | 37% |
| Triwest | $3,362 | 84% |
| Humana | $3,503 - $3,678 | 88% |
| Ms Breast And Cervical | $3,503 | 88% |
| Vaccn | $3,503 | 88% |
| Veterans Evaluation Services | $3,503 | 88% |
| Devoted Health | $3,573 | 89% |
| Molina | $3,573 - $6,480 | 89% |
| Blue Cross Blue Shield | $3,608 - $15,458 | 90% |
| Aetna | $3,678 | 92% |
| American Health Plan | $3,678 | 92% |
| Shared Health | $3,678 | 92% |
| Magnolia Ms | $4,731 | 118% |
| First State Bank Trust | $5,954 | 149% |
| Arlington Community Schools | $6,305 | 158% |
| Armstrong Relocation | $6,305 | 158% |
| Ashley Furniture Stores | $6,305 | 158% |
| Bartlett City Schools | $6,305 | 158% |
| Brimhall Foods | $6,305 | 158% |
| Building Plastic | $6,305 | 158% |
| Burch Food Services | $6,305 | 158% |
| Cannon Motor Company | $6,305 | 158% |
| Carlisle | $6,305 | 158% |
| City Of Bartlett | $6,305 | 158% |
| City Of Lakeland | $6,305 | 158% |
| Collierville Schools | $6,305 | 158% |
| Crittenden County | $6,305 | 158% |
| Davidson Hospitality | $6,305 | 158% |
| Delta Industries | $6,305 | 158% |
| Desoto Co Board Of Supervisors | $6,305 | 158% |
| Dunn Investment Company | $6,305 | 158% |
| Eas Mssc Schools | $6,305 | 158% |
| First Choice Health Plan Of Ms | $6,305 | 158% |
| First Community Bank | $6,305 | 158% |
| French Camp Academy | $6,305 | 158% |
| Gossett Motor Cars | $6,305 | 158% |
| Hattiesburg Clinic | $6,305 | 158% |
| Heartland Catfish Company | $6,305 | 158% |
| Heavy Machines | $6,305 | 158% |
| Hollowell Industries | $6,305 | 158% |
| Hospitality Management Advisors | $6,305 | 158% |
| Jas D Collier | $6,305 | 158% |
| Lakeland School System | $6,305 | 158% |
| Malco Theaters | $6,305 | 158% |
| Mechanical Systems | $6,305 | 158% |
| Mid-South Transport | $6,305 | 158% |
| Minact | $6,305 | 158% |
| Patterson Warehouses | $6,305 | 158% |
| Radians | $6,305 | 158% |
| Rei Nation | $6,305 | 158% |
| Retzer Resources | $6,305 | 158% |
| Ritchey Automotive | $6,305 | 158% |
| Security One | $6,305 | 158% |
| Silver Tree | $6,305 | 158% |
| State Systems | $6,305 | 158% |
| Town Of Collierville | $6,305 | 158% |
| United Tn Holdings | $6,305 | 158% |
| Vaughn Electric | $6,305 | 158% |
| W G Yates | $6,305 | 158% |
| W W Wood Products | $6,305 | 158% |
| Watkins Uiberall | $6,305 | 158% |
| Y K Auto Group | $6,305 | 158% |
| Employers Health Network | $7,005 | 175% |
| Harding Academy | $7,005 | 175% |
| Mpcn | $7,005 | 175% |
| Primewell | $9,807 | 245% |
| Advanced Health Systems Inc. | $10,306 | 258% |