CMS Price Transparency Data

Breast lump removal

Facility: Singing River Gulfport

Billing Code: 19120 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 19120
Insurance Median: $3,597
Cash Discount Price: $2,731
vs. Medicare Baseline: 0.90x Medicare

The contracted insurance negotiated median rate for a Breast lump removal at Singing River Gulfport is $3,597. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,731. Compared to the federal Medicare reimbursement reference rate of $4,000.24, this hospital’s rate is 0.90x the Medicare baseline. Located in 15200 Community Road, Gulfport, MS.

Cash / Self-Pay

$2,731

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,597

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: $2,731 (68%)

Insurance Median: $3,597 (90%)

Cash: $2,731 (68% of Medicare)

Ins. Median: $3,597 (90% 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	$1,189 - $9,277	30%
Aetna	$1,831 - $3,562	46%
UnitedHealthcare	$3,062 - $5,588	77%
Humana	$3,426 - $3,562	86%
Blue Cross Blue Shield	$3,460 - $3,597	86%
Molina Healthcare Of Ms	$3,492 - $5,375	87%
Shared Health	$3,527 - $3,667	88%
Wellcare	$3,527 - $3,667	88%
Molina	$3,562	89%
Singing River Health System Employees	$4,016 - $4,177	100%
Ambetter / Centene	$5,039 - $5,238	126%
Mississippi Physicians Care Network	$6,047	151%
First Choice	$6,111	153%
Mississippi Physician'S Care Network	$6,286	157%
90 Degree Benefits	$6,382 - $6,635	160%
First Choice Preferred Pricing	$6,461	162%

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 $2,731.
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 Gulfport 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.