CMS Price Transparency Data
Breast lump removal
Facility: Mississippi Baptist Medical Center
Billing Code: 19120 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 19120
- Insurance Median: $6,257
- Cash Discount Price: $1,323
- vs. Medicare Baseline: 1.56x Medicare
The contracted insurance negotiated median rate for a Breast lump removal at Mississippi Baptist Medical Center is $6,257. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,323. Compared to the federal Medicare reimbursement reference rate of $4,000.24, this hospital’s rate is 1.56x the Medicare baseline. Located in 1225 N State St, Jackson, MS.
Cash / Self-Pay
$1,323
Average discount available for prompt cash payment at this facility.
Insurance Median
$6,257
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: $1,323 (33%)
Insurance Median: $6,257 (156%)
Cash: $1,323 (33% of Medicare)
Ins. Median: $6,257 (156% 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 | $2,044 - $7,687 | 51% |
| Ppo Holdings | $2,394 | 60% |
| Ppo Plus | $2,473 | 62% |
| Multiplan | $2,476 - $4,725 | 62% |
| Magnolia Regional Health Center | $2,520 | 63% |
| Aetna | $2,646 - $3,650 | 66% |
| Humana | $3,040 - $3,650 | 76% |
| Littler | $3,150 | 79% |
| Medi Share | $3,150 | 79% |
| Molina | $3,150 - $6,431 | 79% |
| First Choice Health Plan Of Ms | $3,339 - $6,257 | 83% |
| Ms Breast And Cervical | $3,476 | 87% |
| Triwest | $3,476 | 87% |
| Vaccn | $3,476 | 87% |
| Veterans Evaluation Services | $3,476 | 87% |
| Devoted Health | $3,546 | 89% |
| Blue Cross Blue Shield | $3,581 - $7,300 | 90% |
| American Health Plan | $3,650 | 91% |
| Cigna | $3,650 - $3,906 | 91% |
| Magnolia Ms | $3,650 - $6,786 | 91% |
| Shared Health | $3,650 | 91% |
| Wellcare | $3,650 | 91% |
| Christian Health Aid | $5,040 | 126% |
| Occunet | $5,215 | 130% |
| First State Bank Trust | $5,910 | 148% |
| Armstrong Relocation | $6,257 | 156% |
| Ashley Furniture Stores | $6,257 | 156% |
| Brimhall Foods | $6,257 | 156% |
| Building Plastic | $6,257 | 156% |
| Burch Food Services | $6,257 | 156% |
| Cannon Motor Company | $6,257 | 156% |
| Carlisle | $6,257 | 156% |
| Crittenden County | $6,257 | 156% |
| Davidson Hospitality | $6,257 | 156% |
| Delta Industries | $6,257 | 156% |
| Desoto Co Board Of Supervisors | $6,257 | 156% |
| Dunn Investment Company | $6,257 | 156% |
| First Community Bank | $6,257 | 156% |
| French Camp Academy | $6,257 | 156% |
| Gossett Motor Cars | $6,257 | 156% |
| Hattiesburg Clinic | $6,257 | 156% |
| Heartland Catfish Company | $6,257 | 156% |
| Heavy Machines | $6,257 | 156% |
| Hospitality Management Advisors | $6,257 | 156% |
| Jas D Collier | $6,257 | 156% |
| Malco Theaters | $6,257 | 156% |
| Mechanical Systems | $6,257 | 156% |
| Mid-South Transport | $6,257 | 156% |
| Minact | $6,257 | 156% |
| Patterson Warehouses | $6,257 | 156% |
| Radians | $6,257 | 156% |
| Rei Nation | $6,257 | 156% |
| Retzer Resources | $6,257 | 156% |
| Ritchey Automotive | $6,257 | 156% |
| Security One | $6,257 | 156% |
| Silver Tree | $6,257 | 156% |
| State Systems | $6,257 | 156% |
| United Tn Holdings | $6,257 | 156% |
| Vaughn Electric | $6,257 | 156% |
| W G Yates | $6,257 | 156% |
| W W Wood Products | $6,257 | 156% |
| Watkins Uiberall | $6,257 | 156% |
| Y K Auto Group | $6,257 | 156% |
| Mpcn | $6,570 | 164% |
| Employers Health Network | $6,953 | 174% |
| Harding Academy | $6,953 | 174% |
| Primewell | $9,734 | 243% |
| Advanced Health Systems Inc. | $10,306 | 258% |